Individual
THOMAS EARL GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3600 30TH ST, DES MOINES, IA 50310-5753
(515) 699-5000
Mailing address
301 N DEWEY ST, PRAIRIE CITY, IA 50228-8681
(515) 724-2359
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
080182
IA
Other
Enumeration date
08/10/2012
Last updated
08/10/2012
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