Individual
DAVID ESCHOL GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1205 MONUMENT RD STE 203, INDUSTRIAL MEDICINE, JACKSONVILLE, FL 32225-6482
(904) 665-7484
Mailing address
11684 MARSH ELDER DR, JACKSONVILLE, FL 32226-2053
(904) 716-8617
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9101460
FL
Other
Enumeration date
04/12/2011
Last updated
09/20/2012
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