Organization
GRAHAM MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAOUF F MAOUD MD (OWNER)
(253) 847-9166
Entity
Organization
Contact information
Practice address
21120 MERIDIAN AVE E, GRAHAM, WA 98338-8254
(253) 847-9166
(253) 847-6406
Mailing address
PO BOX 1188, GRAHAM, WA 98338-1188
(253) 847-9166
(253) 847-6406
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00032553
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8176968
—
WA
Enumeration date
10/11/2005
Last updated
11/07/2007
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