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Individual

DR. ERIC ANTHONY GRAVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
7105 W. 119TH PLACE, BROOMFIELD, CO 80020
(303) 635-0211
(303) 469-9982
Mailing address
7105 W. 119TH PLACE, BROOMFIELD, CO 80020
(303) 635-0211
(303) 469-9982

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4525
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C502578
MEDICARE GROUP
CO
Enumeration date
10/03/2006
Last updated
11/29/2007
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