Individual
SUSAN GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1123 1ST AVE E STE 200, NEWTON, IA 50208-3981
(641) 792-4012
(641) 791-0697
Mailing address
1123 1ST AVE E STE 200, NEWTON, IA 50208-3981
(641) 792-4012
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
098267
IA
Other
Enumeration date
06/12/2019
Last updated
11/18/2021
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