MR. Jeffrey Benson Hargraves, PA-C
NPI #1053040493 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1053040493
- Entity Type
- Individual
- Name
- MR. Jeffrey Benson Hargraves, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jun 9, 2022
- Last Updated
- Sep 13, 2022
Practice Location
- Address
- 1090 W PARK PL
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83814-2785
- Phone
- (208) 620-5250
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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