Individual
ROY W. GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1117 SPRING ST, FRIDAY HARBOR, WA 98250-9782
(360) 378-2141
(360) 378-1788
Mailing address
1117 SPRING ST, FRIDAY HARBOR, WA 98250
(360) 378-2141
(360) 378-1788
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00020655
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
266644
LABOR & INDUSTRIES
WA
05
—
8559502
—
WA
Enumeration date
09/06/2006
Last updated
12/19/2013
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