Organization
SURGICAL ASSOCIATES OF BRADFORD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHANIEL L GRAHAM M.D. (PRESIDENT)
(814) 368-7125
Entity
Organization
Contact information
Practice address
116 INTERSTATE PKWY, SUITE 31, BRADFORD, PA 16701-1036
(814) 368-7125
(814) 368-9156
Mailing address
116 INTERSTATE PKWY, SUITE 31, BRADFORD, PA 16701-1036
(814) 368-7125
(814) 368-9156
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD033525E
PA
Other
Enumeration date
06/02/2006
Last updated
07/08/2010
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