NPI 1053040493

Jeffrey Benson Hargraves, PAC

Practitioner Physician Assistant Coeur D Alene, ID

Practice location

Address: 1090 W Park Pl, Coeur D Alene, ID 83814-2785
Phone: (208) 620-5250
Mailing address: 1456 N 800 E, Shelley, ID 83274-5014

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Other Physician Assistant providers in Idaho →

Registry record

NPI: 1053040493
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jun 2022
Record last updated: 13 Sep 2022

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.