Individual
DR. GARY R GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4605 BELFORD CIR, BROOMFIELD, CO 80023-8110
(720) 234-2682
Mailing address
4605 BELFORD CIR, BROOMFIELD, CO 80023-8110
(720) 234-2682
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
39362
CO
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
C 51164
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92828540
—
CO
Enumeration date
07/28/2006
Last updated
12/28/2019
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