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Organization
GRAHAM PEDIATRIC CLINIC, LLC
Active
Organization
GRAHAM PEDIATRIC CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY GRAHAM MD (PHYSICIAN)
(541) 851-7350
Entity
Organization
Contact information
Practice address
706 MAIN ST STE 2A, KLAMATH FALLS, OR 97601-6010
(541) 591-0877
(888) 519-9117
Mailing address
706 MAIN ST STE 2A, KLAMATH FALLS, OR 97601-6010
(541) 851-7350
(541) 851-7351
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
08/01/2022
Last updated
08/24/2022
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