Individual provider · Type 1 NPI

Charles Russell Graham, PA-C

Physician Assistant · West Des Moines, IA

NPI number 1629039565 Active

Practice location

6001 Westown Pkwy
West Des Moines, IA 50266-7719

Fax (515) 224-5140

Mailing address

6001 Westown Parkway
West Des Moines, IA 50266-7702

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X001613 (IA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1629039565

Charles Russell Graham, PA-C's National Provider Identifier is 1629039565, issued on Mar 30, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in West Des Moines, IA. The record was last updated on Dec 29, 2022.