Individual provider · Type 1 NPI
Joseph A. Graham, DO
Vascular Surgery Physician · Gulfport, MS
NPI number
1225096860
Active
Practice location
1340 Broad Avenue, Suite 220
Gulfport, MS 39501
Fax (228) 867-6423
Mailing address
PO Box 1810
Gulfport, MS 39502-1810
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | 059594 (FL) |
| Vascular Surgery Physician Primary | 2086S0129X | 20350 (MS) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
2 other providers at this address
Other vascular surgery physician providers in Gulfport
About NPI 1225096860
Joseph A. Graham, DO's National Provider Identifier is 1225096860, issued on May 3, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Gulfport, MS. The record was last updated on Jul 10, 2014.