Individual
ELIZABETH J GRAVLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 PEABODY DR, WEBSTER, SD 57274-1061
(605) 345-4141
(605) 345-4135
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9556
(605) 328-9501
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4465
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5610223
—
SD
Enumeration date
06/13/2005
Last updated
03/29/2022
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