Organization
BERTRAM ANTHONY GRAVES, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERTRAM ANTHONY GRAVES M.D. (PRESIDENT)
(317) 584-4000
Entity
Organization
Contact information
Practice address
3737 N MERIDIAN ST, SUITE 104, INDIANAPOLIS, IN 46208-4348
(317) 584-4000
(317) 584-4008
Mailing address
3737 N MERIDIAN ST, SUITE 104, INDIANAPOLIS, IN 46208-4348
(317) 584-4000
(317) 584-4008
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01039628
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100120680
—
IN
Enumeration date
11/01/2007
Last updated
11/28/2012
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