Individual
JOHN GRAVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6265 ROCK CHALK DR, SUITE 1100, LAWRENCE, KS 66049
(785) 842-5070
(785) 505-5264
Mailing address
6265 ROCK CHALK DR, SUITE 1100, LAWRENCE, KS 66049
(785) 842-5070
(785) 505-5264
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0518210
KS
Other
Enumeration date
01/06/2006
Last updated
12/01/2020
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