Individual
GREGORY JOSEPH GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1349 CAMINO DEL MAR, DEL MAR, CA 92014-2553
(858) 755-5484
(858) 755-4877
Mailing address
1349 CAMINO DEL MAR, DEL MAR, CA 92014-2553
(858) 755-5484
(858) 755-4877
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP6239A
CA
Other
Enumeration date
05/09/2007
Last updated
12/05/2013
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