Organization
GRAHAM FAMILY MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC GRAHAM MD (OWNER/PHYSICIAN)
(618) 998-9200
Entity
Organization
Contact information
Practice address
4501 W DEYOUNG ST, SUITE 107B, MARION, IL 62959-6360
(618) 998-9200
(618) 998-9700
Mailing address
4501 W DEYOUNG ST, SUITE 107B, MARION, IL 62959-6360
(618) 998-9200
(618) 998-9700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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