Provider Demographics
NPI:1215929732
Name:GRAVES, CHRISTOPHER GENE (DO)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:GENE
Last Name:GRAVES
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:605 E BOONESLICK RD
Mailing Address - Street 2:SUITE ONE
Mailing Address - City:WARRENTON
Mailing Address - State:MO
Mailing Address - Zip Code:63383-2127
Mailing Address - Country:US
Mailing Address - Phone:636-456-1448
Mailing Address - Fax:636-456-9093
Practice Address - Street 1:605 E BOONESLICK RD
Practice Address - Street 2:SUITE ONE
Practice Address - City:WARRENTON
Practice Address - State:MO
Practice Address - Zip Code:63383-2127
Practice Address - Country:US
Practice Address - Phone:636-456-1448
Practice Address - Fax:636-456-9093
Is Sole Proprietor?:No
Enumeration Date:2005-08-19
Last Update Date:2009-03-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2005019582207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine