Individual
TIMOTHY P. GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 S AVENUE A, YUMA, AZ 85364-7127
(928) 336-1606
Mailing address
2400 S AVENUE A, YUMA, AZ 85364-7170
(928) 344-2000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
23103
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211897
—
AZ
Enumeration date
10/05/2005
Last updated
12/09/2024
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