# WALTER M. GRAHAM, M.D.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255296109
- **Authorized official:** DR. WALTER MAITLAND GRAHAM MD (PHYSICIAN)
- **Authorized official phone:** (208) 677-3034

## Contact information

- **Practice address:** 32 S 150 E, BURLEY, ID 83318-5450
- **Practice address phone:** (208) 677-3034
- **Practice address fax:** (208) 677-2483
- **Mailing address:** 32 S 150 E, BURLEY, ID 83318-5450
- **Mailing address phone:** (208) 677-3034
- **Mailing address fax:** (208) 677-2483

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/22/2025
- **Last updated:** 12/22/2025