Bruce Douglas Graham in Shawnee Mission - Specialist

Bruce Douglas Graham - NPI 1427061662

Bruce Douglas Graham is a Specialist in Shawnee Mission, Kansas. Bruce Douglas Graham practices all healthcare services and medical treatments related to Specialist. The NPI Number for Bruce Douglas Graham is 1427061662. The last update date is 2011-10-28.

Bruce Douglas Graham's current location address is 8901 W 74th St, Shawnee Mission, Kansas. You can contact this provider via phone number 9136774010 and fax number 9136771164. The mailing address for Bruce Douglas Graham is 8901 W 74th St, Shawnee Mission, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Bruce Douglas Graham
Address 8901 W 74th St, Shawnee Mission, Kansas
Phone Number 9136774010
Fax Number 9136771164
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1427061662
Provider Enumeration Date 2006-08-15
Last Updated Date 2011-10-28

Provider Mailing Address Detail

Address 8901 W 74th St
City Shawnee Mission
State Kansas (KS)
Post Code 662042204
Phone Number 9136774010
Fax Number 9136771164

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 21744
Definition:
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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FAQs about Bruce Douglas Graham

What is the Bruce Douglas Graham's unique identification number?

The Bruce Douglas Graham has been assigned the NPI (National Provider Identifier) Number 1427061662 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Bruce Douglas Graham is located?

The Bruce Douglas Graham is situated at the following address: 8901 W 74Th St, Shawnee Mission, KS, 662042204.

What is Bruce Douglas Graham's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Bruce Douglas Graham is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1427061662 to Bruce Douglas Graham?

The Bruce Douglas Graham received its 1427061662 assignment from the Centers for Medicare & Medicaid Services on 2006-08-15.

When was the information related to Bruce Douglas Graham most recently updated or refreshed?

The details pertaining to the Bruce Douglas Graham, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-10-28.

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