Individual
ALAN SCOTT GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 S DOBSON RD, MESA, AZ 85202-4707
(480) 412-3340
Mailing address
PO BOX 29391, PHOENIX, AZ 85038-9391
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
44802
AZ
2080P0203X
Pediatric Critical Care Medicine Physician
MD25165
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233479
—
OR
05
—
609164
—
AZ
Enumeration date
08/01/2006
Last updated
08/02/2011
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