Individual
IRENE L GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 S GRAND BLVD, DRC 1ST FLOOR, SAINT LOUIS, MO 63104-1015
(314) 977-6333
(314) 977-6340
Mailing address
1100 S GRAND BLVD, DRC 1ST FLOOR, SAINT LOUIS, MO 63104-1015
(314) 977-6333
(314) 977-6340
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
R1F55
MO
Other
Enumeration date
08/04/2006
Last updated
02/20/2009
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