Susan Graham, PA

NPI #1043307192 in Longmont, Colorado

Provider Information

NPI Number: 1043307192
Entity Type: Individual
Name: Susan Graham, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Oct 9, 2006
Last Updated: Apr 22, 2025

Practice Location

Address: 1308 VIVIAN ST
City: Longmont
State: Colorado
ZIP Code: 80501-3217
Phone: (800) 628-7828

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Surgical — Surgical	363AS0400X
Physician Assistant	363A00000X	Primary

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