Individual
EVAN MICHAEL GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
840 E HILL AVE, MOSES LAKE, WA 98837-2238
(509) 765-0216
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD00021439
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30749
L&I
WA
05
—
8626806
—
WA
Enumeration date
07/12/2006
Last updated
08/02/2013
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