Adam W Graham, P.A.

NPI #1811947344 in Lolo, Montana

Provider Information

NPI Number: 1811947344
Entity Type: Individual
Name: Adam W Graham, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: May 12, 2006
Last Updated: Aug 19, 2010

Practice Location

Address: 12499 CLAIMSTAKE CT
City: Lolo
State: Montana
ZIP Code: 59847-9435
Phone: (406) 493-8269

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Medical — Medical	363AM0700X

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