Individual provider · Type 1 NPI

Stephen J. Graham, MD

General Practice Physician · Gold Canyon, AZ

NPI number 1790778520 Active

Practice location

9983 E Desert Trail Ln
Gold Canyon, AZ 85118-4922

Call (406) 425-1355 Map

Fax (801) 618-4185

Specialties and licenses

TaxonomyCodeLicense
Ophthalmology Physician 207W00000X184400-1205 (UT)
Ophthalmology Physician 207W00000X19987 (AZ)
General Practice Physician 208D00000X19987 (AZ)
General Practice Physician Primary 208D00000X184400-1205 (UT)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

About NPI 1790778520

Stephen J. Graham, MD's National Provider Identifier is 1790778520, issued on Aug 26, 2005. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Gold Canyon, AZ. The record was last updated on Jul 13, 2021.