Charles G Graves III, M.D.

NPI #1033172432 in Hayden Lake, Idaho

Provider Information

NPI Number: 1033172432
Entity Type: Individual
Name: Charles G Graves III, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Anesthesiology
Credential: M.D.
Enumeration Date: Apr 8, 2006
Last Updated: Feb 16, 2015

Practice Location

Address: 5925 E MCMAHON RD
City: Hayden Lake
State: Idaho
ZIP Code: 83835-9587
Phone: (208) 772-0915

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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