Individual
WILLIAM GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
2168 FIELD HOUSE DR, USAF ACADEMY, CO 80840-9599
(719) 333-0222
Mailing address
5210 SLICKROCK DR, COLORADO SPRINGS, CO 80923-7645
(720) 984-5402
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0002083
CO
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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