Individual
DONALD D GRABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8 E COTTONWOOD ST BLDG C, VERDE VALLEY GUIDANCE CLINIC, INC., COTTONWOOD, AZ 86326-6237
(928) 634-2236
(928) 634-8960
Mailing address
8 E COTTONWOOD ST BLDG A, VERDE VALLEY GUIDANCE CLINIC, INC., COTTONWOOD, AZ 86326-6237
(928) 634-2236
(928) 634-8960
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01024485A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000375988
ANTHEM
IN
05
—
100112580
—
IN
01
—
P00310132
ANTHEM PIN
IN
Enumeration date
06/23/2006
Last updated
11/28/2012
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