Individual
LEON J. GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
12841
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116274
—
MS
05
—
009938765
—
AL
01
—
730-12797
BLUE CROSS OF AL
—
01
—
P00113829
RAILROAD MEDICARE
—
Enumeration date
11/18/2005
Last updated
11/09/2013
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