# SCOTT ALLAN GRAHAM

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

## Provider details

- **NPI number:** 1700801313
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 23186 | AZ | Yes |

## Other

- **Enumeration date:** 07/13/2006
- **Last updated:** 04/03/2012

## 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 |