Individual
GARTH NIGEL GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4330 WORNALL RD, SUITE 2000, KANSAS CITY, MO 64111-3201
(816) 931-1883
Mailing address
PO BOX 505008, SAINT LOUIS, MO 63150-5008
(816) 502-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
219052
MA
207R00000X
Internal Medicine Physician
ME110458
FL
207RC0000X
Cardiovascular Disease Physician
Primary
2016019591
MO
207RI0011X
Interventional Cardiology Physician
2016019591
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004002000
—
FL
Enumeration date
06/13/2007
Last updated
09/30/2016
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