Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAMES GRAVENER
ActiveJAMES GRAVENER is a 1223D0004X healthcare provider located in SLIPPERY ROCK, Pennsylvania. NPI 1306384631 is currently active in the NPPES registry. Verify at CMS.
1223D0004X · SLIPPERY ROCK, PA
Registration Details
- NPI Number
- 1306384631
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 7, 2017 (9.5115242077219 yrs)
- Last Updated
- Jul 31, 2020
- Licenses
-
DS041141 (PA)DA031831 (PA)
Practice Information
- Address
-
234 S MAIN STSLIPPERY ROCK, PA, 160571247Browse PA providers · Browse ZIP 16057
- Phone
- 2679391435
- Primary Specialty
-
1223D0004X
1223D0004X
- Additional Specialty
- 1223D0004X
Other 1223D0004X Providers in SLIPPERY ROCK, PA
| Name | Credential | NPI |
|---|---|---|
| CHRISTA MARANO | — | 1194264788 |
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.