JEFFREY BENSON HARGRAVES

COEUR D ALENE, ID
NPI1053040493
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2022-06-09
Last Update Date2022-09-13
Business Address
Mr. JEFFREY BENSON HARGRAVES PA-C
1090 W PARK PL
COEUR D ALENE, ID 83814-2785
Phone number: 208-620-5250
Mailing Address
Mr. JEFFREY BENSON HARGRAVES PA-C
1456 N 800 E
SHELLEY, ID 83274-5014
Phone number: 208-821-2412
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