Individual
DR. ROBERT L GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1150 RESERVOIR AVE, SUITE 304, CRANSTON, RI 02920-6068
(401) 942-3330
(401) 942-3833
Mailing address
1150 RESERVOIR AVE, SUITE 304, CRANSTON, RI 02920-6068
(401) 942-3330
(401) 942-3833
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2148
ME
207Q00000X
Family Medicine Physician
DO00688
RI
207R00000X
Internal Medicine Physician
2148
ME
207R00000X
Internal Medicine Physician
Primary
DO00688
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102170206
—
ME
05
—
242694024
—
MO
05
—
RG86689
—
RI
Enumeration date
03/06/2007
Last updated
08/06/2012
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