Provider Demographics
NPI:1710303623
Name:GRABER, AMANDA ARNOLD (DVM)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:ARNOLD
Last Name:GRABER
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:DR
Other - First Name:AMANDA
Other - Middle Name:
Other - Last Name:ARNOLD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DVM
Mailing Address - Street 1:454 LAZELLE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43240-2023
Mailing Address - Country:US
Mailing Address - Phone:614-888-2100
Mailing Address - Fax:
Practice Address - Street 1:454 LAZELLE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43240-2023
Practice Address - Country:US
Practice Address - Phone:614-888-2100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-16
Last Update Date:2014-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHVET.10340174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian