Billy D Graham in Roseville - Surgical

Billy D Graham - NPI 1750479374

Billy D Graham is a Surgical in Roseville, California. Billy D Graham practices all healthcare services and medical treatments related to Surgical. The NPI Number for Billy D Graham is 1750479374. The last update date is 2019-09-17.

Billy D Graham's current location address is 1 Medical Plaza Dr, Roseville, California. You can contact this provider via phone number 9167811002 and fax number 9167811003. The mailing address for Billy D Graham is 1 Medical Plaza Dr, Roseville, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Billy D Graham
Address 1 Medical Plaza Dr, Roseville, California
Phone Number 9167811002
Fax Number 9167811003
Sole Proprietor N
Credentials P.A.-C.

NPI Number Detail

NPI Number 1750479374
Provider Enumeration Date 2006-10-10
Last Updated Date 2019-09-17

Provider Mailing Address Detail

Address 1 Medical Plaza Dr
City Roseville
State California (CA)
Post Code 95661
Phone Number 9167811002
Fax Number 9167811003

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No PA15123
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00PA15123 CA --

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FAQs about Billy D Graham

What is the unique identification code assigned to Billy D Graham by the Centers for Medicare & Medicaid Services?

The Billy D Graham has been issued the NPI (National Provider Identifier) 1750479374. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Billy D Graham is geographically located?

The Billy D Graham is physically situated at the following location: 1 Medical Plaza Dr, Roseville, CA, 95661.

What is Billy D Graham's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Billy D Graham's specialized field of practice is Surgical, and the corresponding taxonomy code that categorizes this area of specialization is 363As0400X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1750479374 to Billy D Graham?

The Centers for Medicare & Medicaid Services originally issued the 1750479374 to Billy D Graham on 2006-10-10.

When was the information related to Billy D Graham most recently updated or refreshed?

The details pertaining to the Billy D Graham, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-09-17.

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