Individual
DR. JEREMY D GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
914 W CARLISLE AVE, SPOKANE, WA 99205
(509) 444-8888
(509) 444-7806
Mailing address
203 N WASHINGTON ST STE 300, SPOKANE, WA 99201-0254
(509) 444-8888
(509) 444-7806
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OP00001872
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8350118
—
WA
Enumeration date
05/16/2006
Last updated
07/02/2019
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