Organization
GAS AZ PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CECIL C GRAHAM MD (PRESIDENT)
(480) 361-7680
Entity
Organization
Contact information
Practice address
7010 E ACOMA DR, SUITE 101, SCOTTSDALE, AZ 85254-3553
(480) 361-7680
(480) 361-7683
Mailing address
PO BOX 94568, PHOENIX, AZ 85070-4568
(480) 361-7680
(480) 361-7683
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/12/2009
Last updated
02/12/2009
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