NPI 1033172432

Charles G Graves, MD

Practitioner Anesthesiology Physician Hayden Lake, ID

Practice location

Address: 5925 E McMahon Rd, Hayden Lake, ID 83835-9587
Phone: (208) 772-0915

Registered specialties

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence M5893 (ID)

Other Anesthesiology providers in Idaho →

Registry record

NPI: 1033172432
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Apr 2006
Record last updated: 16 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.