Individual
SCOTT ALLAN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 HARRIS CT BLDG A, STE A1, MONTEREY, CA 93940-5704
(831) 643-9788
(831) 657-0161
Mailing address
10 HARRIS CT BLDG A, STE A1, MONTEREY, CA 93940-5704
(831) 643-9788
(831) 657-0161
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
23186
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187479
—
AZ
01
—
4445600
CIGNA
AZ
01
—
49708
EMPIRE BC
AZ
01
—
AZ0442680
AZ BLUE CROSS/BLUE SHIELD
AZ
01
—
P00340986
MEDICARE RAILROAD
AZ
Enumeration date
07/13/2006
Last updated
04/03/2012
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