Individual
DR. AUSTIN J. GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
824 S DIAMOND ST, NAMPA, ID 83686-5960
(208) 463-7300
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-9910
ID
Other
Enumeration date
05/03/2006
Last updated
01/23/2014
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