Individual
DR. CHARLES E. GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3435 W CRAIG RD STE A, NORTH LAS VEGAS, NV 89032-5116
(702) 733-6673
Mailing address
PO BOX 34405, 3435 W. CRAIG RD. SUITE A, LAS VEGAS, NV 89133-4405
(702) 733-6673
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
21459
AZ
207W00000X
Ophthalmology Physician
22808
KS
207W00000X
Ophthalmology Physician
Primary
6794
NV
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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