MEDICARE: JOSHUA SHAW HAGGARD DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	5638	AZ

General Provider Information

NPI Number	:	1720069727
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA SHAW HAGGARD DC

Provider Business Mailing Address
First Line	:	26062 N 71ST LN
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85383-7319
Country	:	US
Telephone Number	:	623-877-8518
Fax Number	:

Provider Business Practice Location Address
First Line	:	4767 N 20TH ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-4706
Country	:	US
Telephone Number	:	602-631-4500
Fax Number	:	602-631-4427

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	10/01/2015

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Directions to “ JOSHUA SHAW HAGGARD DC” Practice Location

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