Individual
DR. DAVID BUOY GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 NORTH 4TH STREET, SPRINGFIELD, IL 62794-9670
(217) 757-8100
(217) 747-1351
Mailing address
PO BOX 19670, SPRINGFIELD, IL 62794-9670
(217) 757-8100
(217) 747-1351
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43056
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036119713
—
IL
Enumeration date
08/20/2006
Last updated
10/23/2020
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