Individual
ERIC JOVE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
155 N FRESNO ST, ATTN: EMERGENCY MEDICINE, FRESNO, CA 93701-2302
(512) 573-2681
Mailing address
2100 POWELL ST, STE 900, EMERYVILLE, CA 94608-1844
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A130257
CA
207P00000X
Emergency Medicine Physician
MD60631255
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2012
Last updated
01/04/2018
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