Richard Allen Graves M.A. CCC-A

NPI 1699888545 - Audiologist - 231H00000X

NPI Details
NPI 1699888545
Gender Male
Enumeration Date 08/16/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
ILLIANA VAMC
1900 EAST MAIN ST
DANVILLE IL, 61832, US
Phone (217) 554-5622
Fax
Business Location
2238 CHURCHILL DR
SAINT JOSEPH IL, 61873-9412, US
Phone
Fax
Toxanomy
Taxonomy Code 231H00000X
License State Illinois
License Number 14700927
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According to our database, Richard Allen Graves M.A. CCC-A NPI is 1699888545, taxonomy code is 231H00000X and license number is 14700927, license state is located at Illinois. Richard Allen Graves M.A. CCC-A physically located at Illiana Vamc, Danville IL, 61832. NPI Number Richard Allen Graves M.A. CCC-A has the Individual type.

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1699888545 NPI number is provided on an as is basis without warranty of any kind. 1699888545 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Allen Graves M.A. CCC-A are for informational purposes only.