| Graves And Associates Llc | |
|
2020 E Grand Ave Ste 429 Laramie WY 82070-4380 | |
| (307) 761-3489 | |
| Not Available |
| Full Name | Graves And Associates Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2020 E Grand Ave Ste 429, Laramie, Wyoming |
| Authorized Official Name and Position | Wayne Graves (OWNER) |
| Authorized Official Contact | 3077613489 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Graves And Associates Llc 4127 Foothills St Laramie WY 82070-5606 Ph: () - | Graves And Associates Llc 2020 E Grand Ave Ste 429 Laramie WY 82070-4380 Ph: (307) 761-3489 |
| NPI Number | 1235620204 |
|---|---|
| Provider Enumeration Date | 05/24/2018 |
| Last Update Date | 02/07/2019 |
| Medicare PECOS PAC ID | 7618201690 |
|---|---|
| Medicare Enrollment ID | O20190625002046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235620204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Wayne R Graves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730235300 PECOS PAC ID: 9133400856 Enrollment ID: I20170111001237 |
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