Individual
DR. BRUCE DOUGLAS GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8901 W 74TH ST, SUITE 149, SHAWNEE MISSION, KS 66204-2204
(913) 677-4010
(913) 677-1164
Mailing address
8901 W 74TH ST, SUITE 149, SHAWNEE MISSION, KS 66204-2204
(913) 677-4010
(913) 677-1164
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
21744
KS
Other
Enumeration date
08/15/2006
Last updated
10/28/2011
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