Individual
CLYVE GREAVES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10535 HOSPITAL WAY, MATHER, CA 95655-4200
(916) 843-9057
Mailing address
10535 HOSPITAL WAY, MATHER, CA 95655-4200
(916) 843-9057
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A109263
CA
Other
Enumeration date
04/07/2009
Last updated
11/17/2009
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