Individual
DAVID S GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
811 E PARRISH AVE, OWENSBORO, KY 42303-3258
(270) 688-2163
(812) 471-6650
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
22937
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64229370
—
KY
Enumeration date
10/20/2005
Last updated
04/29/2013
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