Individual
MRS. TREVA JO GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1002 NE HIGHWAY 66, STE 2, SAYRE, OK 73662-9305
(580) 928-2208
(580) 928-2246
Mailing address
1002 NE HIGHWAY 66, STE 2, SAYRE, OK 73662-9305
(580) 928-2208
(580) 928-2246
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21811
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100117500B
—
OK
Enumeration date
11/02/2006
Last updated
07/10/2012
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