Individual
ALEXIS GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
333 N 1ST ST STE 280, BOISE, ID 83702-6132
(208) 345-6545
(208) 345-1213
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
5571144
ID
2086S0129X
Vascular Surgery Physician
82235-20
WI
Other
Enumeration date
01/26/2015
Last updated
08/21/2025
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