CHARLES G GRAVES

HAYDEN LAKE, ID
NPI1033172432
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: ID  M5893)
Enumeration Date2006-04-08
Last Update Date2015-02-16
Business Address
-- CHARLES G GRAVES M.D.
5925 E MCMAHON RD
HAYDEN LAKE, ID 83835-9587
Phone number: 208-772-0915
Mailing Address
-- CHARLES G GRAVES M.D.
5925 E MCMAHON RD
HAYDEN LAKE, ID 83835-9587
Phone number: 208-772-0915