Individual
IVORY FRANK GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 TRADE CENTER DR W, SAINT PETERS, MO 63376-1190
(636) 978-4300
(636) 978-4343
Mailing address
4 FOREST PEAK COURT, ST CHARLES, MO 63303-5300
(314) 610-6834
(636) 493-9792
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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