Individual
MICHAEL GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8352 W WARM SPRINGS RD STE 200, LAS VEGAS, NV 89113-3629
(702) 330-0555
(702) 832-1128
Mailing address
8352 W WARM SPRINGS RD STE 200, LAS VEGAS, NV 89113-3629
(702) 330-0555
(702) 832-1128
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
23389
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z138332
ARIZONA MEDICARE FARGO PART B
AZ
Enumeration date
02/16/2006
Last updated
08/26/2024
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