Individual
MR. CHARLES JAMES GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 N 600 E, HYRUM, UT 84319-0339
(435) 245-6451
(435) 245-0705
Mailing address
PO BOX K, 10 N 600 E, HYRUM, UT 84319-0339
(435) 245-6451
(435) 245-0705
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
148781-1205
UT
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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