Individual
MR. ROBERT A GRAOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3865 EAST LOHMAN, SUITE 4, LAS CRUCES, NM 88011-8292
(575) 532-5838
(575) 532-1778
Mailing address
3865 EAST LOHMAN, SUITE 4, LAS CRUCES, NM 88011-8292
(575) 532-5838
(575) 532-1778
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
98-63
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07230885
—
NM
01
—
700521080
MEDICARE GROUP NUMBER
NM
Enumeration date
07/19/2005
Last updated
09/08/2014
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