Individual
DR. JOHN DAVID GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2821 N BALLAS RD, STE C-11, SAINT LOUIS, MO 63131-2321
(314) 872-5601
(314) 872-5628
Mailing address
PO BOX 953010, ST LOUIS, MO 63195-3010
(314) 872-5601
(314) 872-5628
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
036092540
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
109904
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004669135
AETNA
—
01
—
050065227
RR MEDICARE
—
01
—
114762
BCBS
MO
01
—
115491
MERCY
—
01
—
2000288
UNITED HEALTHCARE
—
01
—
28931
CMR
—
01
—
30087
GHP
—
01
—
322628
HEALTHLINK
—
Enumeration date
08/30/2006
Last updated
04/09/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us