Individual
DR. CHARLES BRUCE GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1898 FORT RD, SHERIDAN, WY 82801-8320
(307) 672-3473
Mailing address
1898 FORT RD, SHERIDAN, WY 82801-8320
(307) 672-3473
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36220
CO
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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