Individual
STEVEN NICHOLAS GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106
(505) 841-1125
(505) 841-1737
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
51275
SC
207P00000X
Emergency Medicine Physician
Primary
MD2024-0664
NM
Other
Enumeration date
04/24/2019
Last updated
11/05/2024
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