# JOSEPH A GRAHAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1225096860
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 059594 | FL | — |
| 2086S0129X | Vascular Surgery Physician | 20350 | MS | Yes |

## Other

- **Enumeration date:** 05/03/2006
- **Last updated:** 07/10/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 276169600 | — | FL |
| 01 | — | 2977616 | CIGNA PROVIDER \# | FL |
| 05 | — | 5108802 | — | MS |
| 01 | — | 53064 | BCBS PROVIDER \# | FL |
| 01 | — | 7616821 | AETNA PROVIDER \# | FL |