Individual
DR. GARY C GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
517 W 23RD ST, MERCED, CA 95340-3724
(209) 383-1111
(209) 383-0104
Mailing address
PO BOX 2038, MERCED, CA 95344-0038
(209) 383-1111
(209) 383-0104
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G13700
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G137000
—
CA
Enumeration date
08/30/2005
Last updated
09/01/2010
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