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Individual
DR. JOHN E HARGRAVES
Active
Individual
DR. JOHN E HARGRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
142517
NY
207R00000X
Internal Medicine Physician
142517
NY
2083X0100X
Occupational Medicine Physician
142517
NY
208D00000X
General Practice Physician
142517
NY
Other
Enumeration date
10/16/2009
Last updated
11/05/2015
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