Vivian L Graham in Fallon - Physician Assistant

Vivian L Graham - NPI 1437128873

Vivian L Graham is a Physician Assistant in Fallon, Nevada. Vivian L Graham practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Vivian L Graham is 1437128873. The last update date is 2022-07-21.

Vivian L Graham's current location address is 1020 New River Pkwy Ste 200, Fallon, Nevada. You can contact this provider via phone number 7754282150 and fax number 7754282151. The mailing address for Vivian L Graham is 1020 New River Pkwy Ste 200, Fallon, Nevada. To know further, please read the information below!

Provider Profile Detail

Provider Name Vivian L Graham
Address 1020 New River Pkwy Ste 200, Fallon, Nevada
Phone Number 7754282150
Fax Number 7754282151
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1437128873
Provider Enumeration Date 2006-03-17
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 1020 New River Pkwy Ste 200
City Fallon
State Nevada (NV)
Post Code 894067801
Phone Number 7754282150
Fax Number 7754282151

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 809
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
11536093 CAQH
1437128873 NE --

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FAQs about Vivian L Graham

What is the unique provider identifier assigned to Vivian L Graham?

The Vivian L Graham has been issued the NPI (National Provider Identifier) 1437128873 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Vivian L Graham's facilities are geographically located?

The facilities of Vivian L Graham are physically situated at the following location: 1020 New River Pkwy Ste 200, Fallon, NV, 894067801.

What is the area of specialization for Vivian L Graham, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Vivian L Graham is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.

On what date did the Vivian L Graham receive the assignment of its 1437128873 from the Centers for Medicare & Medicaid Services?

The Vivian L Graham was issued its 1437128873 by the Centers for Medicare & Medicaid Services on 2006-03-17.

As of what date were the details pertaining to Vivian L Graham last refreshed?

The information related to the Vivian L Graham, including its address, specialty, and other relevant details, was last updated on 2022-07-21.

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