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Organization
STEPHEN P. GRAHAM, M.D., INC.
Active
Organization
STEPHEN P. GRAHAM, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN PATRICK GRAHAM M.D. (PHYSICIAN)
(562) 597-9002
Entity
Organization
Contact information
Practice address
1760 TERMINO AVE., SUITE G-21, LONG BEACH, CA 90804
(562) 597-9002
(562) 597-9003
Mailing address
PO BOX 1326, BREA, CA 92822
(562) 597-9002
(562) 597-9003
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G43382
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G433821
BLUE SHIELD
—
Enumeration date
05/01/2007
Last updated
08/22/2020
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