Shane Lee Graham in Bozeman - Physician Assistant
Shane Lee Graham - NPI 1376762104
Shane Lee Graham is a Physician Assistant in Bozeman, Montana. Shane Lee Graham practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Shane Lee Graham is 1376762104. The last update date is 2023-03-22.
Shane Lee Graham's current location address is 915 Highland Blvd, Bozeman, Montana. You can contact this provider via phone number 4065851018 and fax number 4065871026. The mailing address for Shane Lee Graham is 915 Highland Blvd, Bozeman, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shane Lee Graham |
|---|---|
| Address | 915 Highland Blvd, Bozeman, Montana |
| Phone Number | 4065851018 |
| Fax Number | 4065871026 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1376762104 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2023-03-22 |
Provider Mailing Address Detail
| Address | 915 Highland Blvd |
|---|---|
| City | Bozeman |
| State | Montana (MT) |
| Post Code | 597156902 |
| Phone Number | 4065851018 |
| Fax Number | 4065871026 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 623 |
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Definition: 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 perfor |
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Post Comment/ Review Below
What is the unique identification code assigned to Shane Lee Graham by the Centers for Medicare & Medicaid Services?
The Shane Lee Graham has been issued the NPI (National Provider Identifier) 1376762104. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Shane Lee Graham's facilities are geographically located?
The facilities of Shane Lee Graham are physically situated at the following location: 915 Highland Blvd, Bozeman, MT, 597156902.
What is Shane Lee Graham's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Shane Lee Graham is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
When was the Shane Lee Graham's 1376762104 issued?
The Shane Lee Graham's 1376762104 was issued on 2007-04-24.
As of what date were the details pertaining to Shane Lee Graham last refreshed?
The information related to the Shane Lee Graham, including its address, specialty, and other relevant details, was last updated on 2023-03-22.