Individual
ROGER WINFIELD GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1737 AIRPORT WAY S STE 200, QUEST DIAGNOSTICS, SEATTLE, WA 98134-1636
(206) 623-8100
Mailing address
1737 AIRPORT WAY S STE 200, QUEST DIAGNOSTICS, SEATTLE, WA 98134-1636
(206) 623-8100
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD00021129
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
66863
WA ST LABOR INDUSTRIES
—
01
—
81407
WA ST LABOR INDUSTRIES
—
05
—
8153462
—
WA
Enumeration date
11/15/2005
Last updated
05/20/2015
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