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NPI Code Detail

MEDICARE: SCOTT ALLAN GRAHAM MD

MEDICARE:   SCOTT ALLAN GRAHAM  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician23186AZ

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00340986OTHERAZMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
149708OTHERAZEMPIRE BC
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
44445600OTHERAZCIGNA
5AZ0442680OTHERAZAZ BLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number : 1700801313
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT ALLAN GRAHAM MD
Provider Business Mailing Address
First Line : 10 HARRIS CT BLDG A
Second Line : STE A1
City : MONTEREY
State : CA
Zip : 93940-5704
Country : US
Telephone Number : 831-643-9788
Fax Number : 831-657-0161
Provider Business Practice Location Address
First Line : 10 HARRIS CT BLDG A
Second Line : STE A1
City : MONTEREY
State : CA
Zip : 93940-5704
Country : US
Telephone Number : 831-643-9788
Fax Number : 831-657-0161
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 04/03/2012

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Directions to “ SCOTT ALLAN GRAHAM MD” Practice Location

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