Individual
MATTHEW LEE GRAVETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1400 W VALENCIA RD STE 110, TUCSON, AZ 85746-6006
(520) 751-3335
(520) 547-5786
Mailing address
4801 E BROADWAY BLVD STE 251, TUCSON, AZ 85711-3633
(520) 327-0460
(520) 795-0225
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
52388
CA
363A00000X
Physician Assistant
Primary
6934
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB241808
MEDICARE ID
CA
Enumeration date
10/27/2010
Last updated
04/03/2026
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