Individual
DR. BRUCE V. GRAFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1406 BAILEY AVE, NEEDLES, CA 92363-3115
(760) 326-2149
(760) 326-1224
Mailing address
PO BOX 308, NEEDLES, CA 92363-0308
(760) 326-2149
(760) 326-1224
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4983
CA
152W00000X
Optometrist
80
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410002519
PALMETTO
CA
01
—
999000380
NORIDIAN
AZ
05
—
SD0049830
—
CA
Enumeration date
04/04/2007
Last updated
05/05/2008
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