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Individual
SCOTT ALLAN GRAHAM
Active
Individual
SCOTT ALLAN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
23186
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187479
—
AZ
01
—
4445600
CIGNA
AZ
01
—
49708
EMPIRE BC
AZ
01
—
AZ0442680
AZ BLUE CROSS/BLUE SHIELD
AZ
01
—
P00340986
MEDICARE RAILROAD
AZ
Enumeration date
07/13/2006
Last updated
04/03/2012
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