Martie John Gravitt M.D.

NPI 1083827299 - Pediatrics - 208000000X

NPI Details
NPI 1083827299
Gender Male
Enumeration Date 05/07/2007
Last Updated 06/05/2016
Entity Type Individual
Active Over 9 years ago
Practice Location
1040 DELAWARE AVE
MARION OH, 43302-6416, US
Phone (740) 383-8090
Fax (740) 383-7079
Business Location
1040 DELAWARE AVE
MARION OH, 43302-6416, US
Phone (740) 383-8090
Fax (417) 443-6454
Toxanomy
Taxonomy Code 208000000X
License State Missouri
License Number 2008006640
Remove 1083827299 NPI Number
 

According to our database, Dr. Martie John Gravitt M.D. NPI is 1083827299, taxonomy code is 208000000X and license number is 2008006640, license state is located at Missouri. Martie John Gravitt M.D. physically located at 1040 Delaware Ave, Marion OH, 43302-6416. NPI Number Martie John Gravitt M.D. has the Individual type.

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1083827299 NPI number is provided on an as is basis without warranty of any kind. 1083827299 is maintained by the National Plan & Provider Enumeration System. The contents of Martie John Gravitt M.D. are for informational purposes only.