NPI 1043698939

Tara Gravenstine, DO

Practitioner Family Medicine Physician Newton, IA

Practice location

Address: 300 N 4th Ave E STE 200, Newton, IA 50208-3179
Phone: (641) 792-2112
Fax: (641) 792-8484
Mailing address: PO Box 743070, Atlanta, GA 30374-3070

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence DO-05909 (IA)

Other Family Medicine providers in Iowa →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 52087 (SC)

Registry record

NPI: 1043698939
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 May 2015
Record last updated: 2 Dec 2021

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.