Individual provider · Type 1 NPI

Jean Graham, MD

Specialist · Farmington, NM

NPI number 1508920661 Active

Practice location

4801 N Butler Ave
Farmington, NM 87401-6002

Mailing address

1654 County Road 120
Hesperus, CO 81326-9752

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X97-254 (NM)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1508920661

Jean Graham, MD's National Provider Identifier is 1508920661, issued on Dec 21, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Farmington, NM. The record was last updated on Jul 8, 2007.