Shane Lee Graham, PA-C

NPI #1376762104 in Bozeman, Montana

Provider Information

NPI Number
1376762104
Entity Type
Individual
Name
Shane Lee Graham, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Apr 24, 2007
Last Updated
Apr 15, 2025

Practice Location

Address
1006 W MAIN ST
State
Montana
ZIP Code
59715-3219
Phone
(406) 414-4800

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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