Individual
DR. KATHERINE AU HARGRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
675 E 2100 S STE 390, SALT LAKE CITY, UT 84106-5314
(800) 366-1884
Mailing address
707 W 37TH ST APT 6, SAN PEDRO, CA 90731-6964
(310) 283-1343
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A91202
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A912020
—
CA
Enumeration date
07/01/2006
Last updated
03/19/2008
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