Provider Demographics
NPI:1285863423
Name:GRAVES, JOSEPH SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:SCOTT
Last Name:GRAVES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1423 N JEFFERSON AVE STE A100
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65802-1917
Mailing Address - Country:US
Mailing Address - Phone:417-269-8817
Mailing Address - Fax:417-269-8744
Practice Address - Street 1:724 N SPRING ST STE A
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:AR
Practice Address - Zip Code:72601-2913
Practice Address - Country:US
Practice Address - Phone:708-365-0850
Practice Address - Fax:870-365-0862
Is Sole Proprietor?:No
Enumeration Date:2009-07-09
Last Update Date:2022-01-25
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Provider Licenses
StateLicense IDTaxonomies
MO2009012446207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine