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Contact Information

GREG GRAVES, PA-C
555 N ARLINGTON AVE
RENO, NV89503-4723
 Phone: 775-786-3040
 Fax: 775-357-9881
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for GREG GRAVES · (Male)

NPI Number 1215351994
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 02/14/2014
Last updated 04/28/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • NV License # 1511
  • NV Medicaid 100538896
  • Other 12671459 CAQH
Hospital affiliation(s)
  • CARSON TAHOE REGIONAL MEDICAL CENTER - (Acute Care)
    1600 MEDICAL PARKWAY
    CARSON CITY, NV 89703
  • RENOWN REGIONAL MEDICAL CENTER - (Acute Care)
    1155 MILL STREET
    RENO, NV 89502
  • RENOWN SOUTH MEADOWS MEDICAL CENTER - (Acute Care)
    10101 DOUBLE R BLVD
    RENO, NV 89521
  • SUTTER ROSEVILLE MEDICAL CENTER - (Acute Care)
    ONE MEDICAL PLAZA
    ROSEVILLE, CA 95661
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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