| Russell M Graham Md Pa | |
|
679 Douglas Ave Altamonte Springs FL 32714-2555 | |
| (407) 389-1195 | |
| (407) 774-4911 |
| Full Name | Russell M Graham Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 679 Douglas Ave, Altamonte Springs, Florida |
| Authorized Official Name and Position | Russell M Graham (PRESIDENT) |
| Authorized Official Contact | 4073891195 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Russell M Graham Md Pa 679 Douglas Ave Altamonte Springs FL 32714-2555 Ph: (407) 389-1195 | Russell M Graham Md Pa 679 Douglas Ave Altamonte Springs FL 32714-2555 Ph: (407) 389-1195 |
| NPI Number | 1205941119 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205941119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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