Individual
STEPHANIE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 602-3899
(303) 602-3902
Mailing address
6774 KLINE ST, ARVADA, CO 80004-1548
(630) 440-3899
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.0005464
CO
363AM0700X
Medical Physician Assistant
—
CO
Other
Enumeration date
07/04/2018
Last updated
07/19/2024
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