Individual
ALEX H GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNAP, CRNA
Contact information
Practice address
6000 HOSPITAL DR, HANNIBAL, MO 63401-6887
(573) 248-5115
(573) 248-5196
Mailing address
PO BOX 551, HANNIBAL, MO 63401-0551
(573) 248-1300
(573) 248-5264
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2010028168
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
2022019361
MO
Other
Enumeration date
03/30/2022
Last updated
06/06/2022
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