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Individual

DR. ROY C GRAVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
700 E SPRING ST, SUITE 200, NEW ALBANY, IN 47150-2926
(812) 945-7536
(812) 945-7542
Mailing address
700 E SPRING ST, SUITE 200, NEW ALBANY, IN 47150-2926
(812) 945-7536
(812) 945-7542

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01031398A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100115990A
IN
05
100327900A
IN
Enumeration date
10/12/2006
Last updated
07/10/2014
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