Individual
MR. DAVID M. GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9060 E. VIA LINDA DR, SCOTTSDALE, AZ 85258
(480) 500-2285
Mailing address
17491 N SADDLE RIDGE DR, SURPRISE, AZ 85374-6411
(623) 755-6922
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1289
NE
363A00000X
Physician Assistant
Primary
2043
CO
363A00000X
Physician Assistant
5121596-1206
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61780839
—
CO
Enumeration date
10/14/2006
Last updated
02/06/2019
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