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Individual

DR. ERIC WILLIAM GRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
801 S STEVENS ST, SPOKANE, WA 99204-2654
(509) 363-7788
Mailing address
801 S STEVENS ST, SPOKANE, WA 99204-2654
(509) 363-7788

Taxonomy

Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
MD60793646
WA
2085R0202X
Diagnostic Radiology Physician
Primary
MD60793646
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1689069908
NPI
WA
Enumeration date
04/02/2015
Last updated
07/14/2021
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