Individual
DR. DONNA MELISSA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 S UNIVERSITY AVE, SUITE 215, LITTLE ROCK, AR 72205
(501) 420-1085
(501) 420-1457
Mailing address
500 S UNIVERSITY AVE, SUITE 215, LITTLE ROCK, AR 72205-5302
(501) 420-1085
(501) 420-1457
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
E-1260
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131802001
—
AR
01
—
A010
CHAMPUS
AR
Enumeration date
01/19/2006
Last updated
06/29/2018
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