Individual
LANDON GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
MSC11 6025 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-1234
(505) 272-5062
(505) 272-6503
Mailing address
MSC11 6025 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-1234
(505) 272-5062
(505) 272-6503
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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