Healthcare Provider Details

I. General information

NPI: 1316880636
Provider Name (Legal Business Name): GRAHAM ELLIOT LEONARD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2026
Last Update Date: 04/11/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 W 69TH ST
SIOUX FALLS SD
57108-8170
US

IV. Provider business mailing address

5705 S JOSH WYATT DR
SIOUX FALLS SD
57108-5225
US

V. Phone/Fax

Practice location:
  • Phone: 605-951-3433
  • Fax:
Mailing address:
  • Phone: 605-951-3433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: