Individual
RICHARD HENRY GRAVES III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
304 CHERRY AVE, LONG BEACH, CA 90802-3848
(562) 433-0478
(562) 438-3690
Mailing address
304 CHERRY AVE, LONG BEACH, CA 90802-3848
(562) 433-0478
(562) 438-3690
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3954
CA
213ES0000X
Sports Medicine Podiatrist
E3954
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
E-3954
CA
Other
Enumeration date
03/10/2006
Last updated
02/08/2016
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