Individual
DR. STEPHEN M GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15813 PAUL VEGA MD DR, SUITE 201-A, HAMMOND, LA 70403-1426
(985) 230-7860
(985) 230-7861
Mailing address
PO BOX 2668, HAMMOND, LA 70404-2668
(985) 230-7860
(985) 230-7861
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
6881
KS
208800000X
Urology Physician
Primary
MD.205260
LA
Other
Enumeration date
07/06/2007
Last updated
07/30/2012
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