MEDICARE: RICHARD D GRAPER PA C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	OA000052L	PA
2	363AM0700X	Medical Physician Assistant	OA000052L	PA

General Provider Information

NPI Number	:	1265424931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD D GRAPER PA C

Provider Business Mailing Address
First Line	:	2790 MOSSIDE BLVD
Second Line	:	SUITE 105
City	:	MONROEVILLE
State	:	PA
Zip	:	15146-2743
Country	:	US
Telephone Number	:	412-372-2277
Fax Number	:	412-373-2307

Provider Business Practice Location Address
First Line	:	2790 MOSSIDE BLVD
Second Line	:	SUITE 105
City	:	MONROEVILLE
State	:	PA
Zip	:	15146-2743
Country	:	US
Telephone Number	:	412-372-2277
Fax Number	:	412-373-2307

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	09/11/2025

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Directions to “ RICHARD D GRAPER PA C” Practice Location

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