Individual
DR. GLENN D GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
VAMC, 1501 SAN PEDRO DRIVE SE, ALBUQUERQUE, NM 87108
(505) 265-1711
(505) 256-5720
Mailing address
337 WHITEOAKS DR NE, ALBUQUERQUE, NM 87122-1410
(505) 265-1711
(505) 256-5720
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
95-248
NM
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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