DR. Bruce Douglas Graham, MD

NPI #1427061662 in Shawnee Mission, Kansas

Provider Information

NPI Number: 1427061662
Entity Type: Individual
Name: DR. Bruce Douglas Graham, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MD
Enumeration Date: Aug 15, 2006
Last Updated: Oct 28, 2011

Practice Location

Address: 8901 W 74TH ST
Address 2: SUITE 149
City: Shawnee Mission
State: Kansas
ZIP Code: 66204-2204
Phone: (913) 677-4010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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