Individual
STEPHEN GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-8045
Mailing address
71 E DESHLER AVE, COLUMBUS, OH 43206-2655
(775) 530-9971
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
57.247478
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57.247478
TRAINING CERTIFICATE (MD)
OH
Enumeration date
02/17/2015
Last updated
04/22/2019
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