Individual
BRYN A GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-8407
(717) 531-3741
Mailing address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA064409
PA
363AS0400X
Surgical Physician Assistant
PA9109024
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016417900
—
FL
Enumeration date
09/24/2015
Last updated
06/16/2025
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