Individual
JONATHAN P. GRAEVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 10TH AVE N, BILLINGS, MT 59101-0703
(406) 238-2500
Mailing address
PO BOX 35100, BILLINGS, MT 59107-5100
(406) 238-2500
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
9564
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000092761
BCBS PIN
MT
01
—
0027608
MDCD PIN
MT
01
—
8HZ79Q
MEDICARE LG
MT
01
—
8HZN27
MEDICARE PRYOR
MT
01
—
8HZN64
MEDICARE CROW
MT
Enumeration date
08/31/2006
Last updated
12/03/2014
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