Ashlee M Graham in Broken Arrow - Medical

Ashlee M Graham - NPI 1144291303

Ashlee M Graham is a Medical in Broken Arrow, Oklahoma. Ashlee M Graham practices all healthcare services and medical treatments related to Medical. The NPI Number for Ashlee M Graham is 1144291303. The last update date is 2021-09-16.

Ashlee M Graham's current location address is 8937 S Garnett Rd, Broken Arrow, Oklahoma. You can contact this provider via phone number 9188729777 and fax number 9188729779. The mailing address for Ashlee M Graham is 8937 S Garnett Rd, Broken Arrow, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Ashlee M Graham
Address 8937 S Garnett Rd, Broken Arrow, Oklahoma
Phone Number 9188729777
Fax Number 9188729779
Sole Proprietor N
Credentials PA-C, CAQ

NPI Number Detail

NPI Number 1144291303
Provider Enumeration Date 2006-01-27
Last Updated Date 2021-09-16

Provider Mailing Address Detail

Address 8937 S Garnett Rd
City Broken Arrow
State Oklahoma (OK)
Post Code 740126018
Phone Number 9188729777
Fax Number 9188729779

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 1331
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200020640A OK --
1061737 OK NCCPA - CAQ - PSYCH
P00117429 OK MEDICARE RAILROAD

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FAQs about Ashlee M Graham

What is the unique identifier code issued to Ashlee M Graham by the Centers for Medicare & Medicaid Services?

The Ashlee M Graham has been assigned the NPI (National Provider Identifier) 1144291303. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Ashlee M Graham's facilities are situated?

The facilities of Ashlee M Graham are physically located at the following address: 8937 S Garnett Rd, Broken Arrow, OK, 740126018.

On what date was the 1144291303 assigned to Ashlee M Graham?

The Ashlee M Graham was issued its 1144291303 on 2006-01-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

On what date did the Ashlee M Graham receive the assignment of its 1144291303 from the Centers for Medicare & Medicaid Services?

The Ashlee M Graham was issued its 1144291303 by the Centers for Medicare & Medicaid Services on 2006-01-27.

When was the information regarding Ashlee M Graham most recently updated?

The details pertaining to the Ashlee M Graham, including its address, specialty, and other relevant information, were last refreshed on 2021-09-16.

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