Individual provider · Type 1 NPI
Jacob Philip Graham, PA
Medical Physician Assistant · Pittsburgh, PA
NPI number
1508558677
Active
Practice location
200 Lothrop St
Pittsburgh, PA 15213-2536
Mailing address
6960 Pelham Rise
Victor, NY 14564-9633
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1508558677
Jacob Philip Graham, PA's National Provider Identifier is 1508558677, issued on May 25, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Pittsburgh, PA. The record was last updated on May 25, 2023.