Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES G GRAVES III, M.D.
Active Sole ProprietorCHARLES G GRAVES III, M.D. is a Anesthesiology healthcare provider located in HAYDEN LAKE, Idaho. NPI 1033172432 is currently active in the NPPES registry. Verify at CMS.
Anesthesiology · HAYDEN LAKE, ID
Registration Details
- NPI Number
- 1033172432
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 8, 2006 (20.369024198734 yrs)
- Last Updated
- Feb 16, 2015
- License
-
M5893 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5925 E MCMAHON RDHAYDEN LAKE, ID, 838359587Browse ID providers · Browse ZIP 83835
- Phone
- 2087720915
- Primary Specialty
-
Anesthesiology
207L00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.