SearchIdaho103T00000X

David Hargraves, PH.D

NPI 1114128030 · on the registry since 2007 · sole proprietor

Practice

Address
523 E 4th S
Rexburg, ID 83440
Phone
(208) 359-0836

Registry record

Primary taxonomy
103T00000X
103T00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho