Organization
JON F GRAHAM MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON F GRAHAM MD (PRESIDENT)
(808) 550-4939
Entity
Organization
Contact information
Practice address
1441 KAPIOLANI BLVD STE 2020, HONOLULU, HI 96814-4408
(808) 550-4939
(808) 550-2842
Mailing address
1380 LUSITANA ST STE 502, HONOLULU, HI 96813-2441
(808) 550-4939
(808) 550-2842
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024320
—
HI
Enumeration date
03/14/2008
Last updated
05/09/2024
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