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Individual
WALTER E GRAHAM
Active
Individual
WALTER E GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
29172
CO
207L00000X
Anesthesiology Physician
Primary
H4357
TX
207L00000X
Anesthesiology Physician
MD.15564R
LA
207P00000X
Emergency Medicine Physician
H4357
TX
207Q00000X
Family Medicine Physician
H4357
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1468037
—
LA
Enumeration date
12/06/2005
Last updated
09/23/2008
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