Individual
ADAM GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
111 S 11TH ST, SUITE 8490, PHILADELPHIA, PA 19107-4824
(215) 955-6161
(215) 923-5507
Mailing address
108 BEVERLY GATE ST, METAIRIE, LA 70001-5430
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
112114
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN696666
PA
Other
Enumeration date
06/12/2017
Last updated
07/11/2017
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