Individual
DR. E JOAN GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
384 W BROADWAY ST, PLYMOUTH, PA 18651-2508
(570) 852-9078
Mailing address
384 W BROADWAY ST, PLYMOUTH, PA 18651-2508
(570) 852-9078
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
OS003555L
PA
Other
Enumeration date
02/15/2013
Last updated
02/15/2013
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