Individual
MILES JAMES GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711
(570) 808-2242
Mailing address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711
(570) 808-2242
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31548
WV
207R00000X
Internal Medicine Physician
MD484562
PA
207RG0100X
Gastroenterology Physician
Primary
MT230721
PA
Other
Enumeration date
06/07/2018
Last updated
06/30/2024
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