Organization
STEPHEN P. GRAHAM, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN PATRICK GRAHAM M.D. (PHYSICIAN)
(562) 597-9002
Entity
Organization
Contact information
Practice address
1760 TERMINO AVE., SUITE G-21, LONG BEACH, CA 90804
(562) 597-9002
(562) 597-9003
Mailing address
PO BOX 1326, BREA, CA 92822
(562) 597-9002
(562) 597-9003
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G43382
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G433821
BLUE SHIELD
—
Enumeration date
05/01/2007
Last updated
08/22/2020
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