Individual
DR. EMILY SERENA GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5700 E HIGHWAY 90, SIERRA VISTA, AZ 85635-9110
(520) 263-3190
Mailing address
10129 N VALLE DEL ORO DR, TUCSON, AZ 85737-7619
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
BP10058108
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP10058108
TMB
TX
Enumeration date
07/12/2016
Last updated
04/15/2019
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