Organization
GRAVES MEDICAL PRACTICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM RICK GRAVES D.O. (OWNER)
(304) 258-6327
Entity
Organization
Contact information
Practice address
261 BERKMORE PL, SUITE 1A, BERKELEY SPRINGS, WV 25411-6247
(304) 258-6327
(304) 258-6332
Mailing address
PO BOX 598, BERKELEY SPRINGS, WV 25411-0598
(304) 258-6327
(304) 258-6332
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1301
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2006631000
—
WV
Enumeration date
04/06/2007
Last updated
08/22/2020
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