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Individual

DR. TIMOTHY M. GRAHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2434 RICHMILLER LN UNIT C, BELPRE, OH 45714-1075
(740) 423-3207
(740) 423-3227
Mailing address
805 FARSON ST STE 113, BELPRE, OH 45714-1000
(740) 423-3207
(740) 423-3227

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36003865
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
PO3776
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02060385
OH
Enumeration date
05/08/2014
Last updated
06/06/2024
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