Russell M Graham MD PA

NPI #1205941119 in Altamonte Springs, Florida

Provider Information

NPI Number: 1205941119
Entity Type: Organization
Organization Name: Russell M Graham MD PA
Primary Specialty: Family Medicine
Enumeration Date: Aug 20, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 679 DOUGLAS AVE
City: Altamonte Springs
State: Florida
ZIP Code: 32714-2555
Phone: (407) 389-1195

Authorized Official

Name: RUSSELL M GRAHAM, MD
Title: PRESIDENT
Phone: (407) 389-1195

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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