Individual
DR. CALVIN F GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1001 LEXINGTON AVE., FORT SMITH, AR 72901-4945
(479) 782-6737
(479) 782-1071
Mailing address
1001 LEXINGTON AVE., FORT SMITH, AR 72901
(479) 782-6737
(479) 782-1071
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2072
AR
152W00000X
Optometrist
AR2072/OP1100009
AR
152W00000X
Optometrist
Primary
AR20723
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100760800A
—
OK
05
—
105711722
—
AR
Enumeration date
01/20/2006
Last updated
12/06/2011
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