Individual
JOHN E GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5400 GIBSON BLVD SE, ALBUQUERQUE, NM 87108
(505) 262-3937
(505) 262-7147
Mailing address
PO BOX 27829, ALBUQUERQUE, NM 87125
(505) 232-1920
(505) 727-9276
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
9261
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E4251
—
NM
Enumeration date
07/11/2006
Last updated
08/09/2011
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