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Individual

RICHARD FRANK GRAVINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
333 N SAN MATEO DR, SAN MATEO, CA 94401
(650) 348-6811
(650) 348-3651
Mailing address
333 N SAN MATEO DR, SAN MATEO, CA 94401
(650) 348-6811
(650) 348-3651

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G24445
CA

Other

Enumeration date
11/01/2006
Last updated
03/15/2012
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