Individual
DOUGLAS GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1 SAXON DR MCLANE CENTER, ALFRED, NY 14802-1205
(607) 871-3495
Mailing address
1 SAXON DR MCLANE CENTER, ALFRED, NY 14802-1205
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002264
NY
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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