Individual
DR. WILLIAM NOBLE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
625 N FOSTER ST, SUITE 203, MITCHELL, SD 57301-2969
(605) 996-8386
(605) 996-9153
Mailing address
625 N FOSTER ST, SUITE 203, MITCHELL, SD 57301-2969
(605) 996-8386
(605) 996-9153
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
4248
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005047
BCBS
SD
01
—
20223
SIOUX VALLEY
SD
01
—
2070
AVERA HEALTH
SD
05
—
6520252
—
SD
Enumeration date
10/12/2006
Last updated
05/11/2009
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