Individual
JONATHAN C. GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
502 N 40TH AVE, YAKIMA, WA 98908-4319
(509) 965-0625
(509) 966-4967
Mailing address
1800 RIVER RD, APARTMENT 152, YAKIMA, WA 98902-1263
(801) 918-6581
(801) 918-6581
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
56793490501
UT
213ES0103X
Foot & Ankle Surgery Podiatrist
DPM0000000668
TN
213ES0103X
Foot & Ankle Surgery Podiatrist
E4772
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO60013996
WA
Other
Enumeration date
10/16/2006
Last updated
02/11/2022
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