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Individual

DR. JOSEPH E GRAHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5405 SOUTH 500 EAST, #200, OGDEN, UT 84405
(801) 476-6900
(801) 476-6991
Mailing address
5405 SOUTH 500 EAST, #200, OGDEN, UT 84405
(801) 476-6900
(801) 476-6991

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
5788968-1205
UT
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
9061477
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
52274351001
UT
Enumeration date
11/21/2006
Last updated
08/14/2024
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