Organization
BERTRAM ANTHONY GRAVES, MD, PC
Active
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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