Individual
DR. RONALD E. GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
200 MEDICAL CENTER DR, FORT PAYNE, AL 35968
(256) 845-3150
Mailing address
14050 NW 14TH ST, SUITE 190, SUNRISE, FL 33323-2865
(800) 424-3672
(954) 377-3042
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO-197
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009932308
—
AL
Enumeration date
06/14/2006
Last updated
07/08/2007
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