James Bradley Graham D.M.D.

NPI 1053302216 - Dentist - 1223G0001X

NPI Details
NPI 1053302216
Gender Male
Enumeration Date 11/04/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
BARKSDALE AFB LA, 71110-2486, US
Phone (318) 456-6568
Fax (318) 456-6656
Business Location
BOSSIER CITY LA, 71111-5751, US
Phone (318) 752-3031
Taxonomy Code 1223G0001X
License State West Virginia
License Number 2890
Remove 1053302216 NPI Number

According to our database, Dr. James Bradley Graham D.M.D. NPI is 1053302216, taxonomy code is 1223G0001X and license number is 2890, license state is located at West Virginia. James Bradley Graham D.M.D. physically located at 1067 Twining Dr, Barksdale Afb LA, 71110-2486. NPI Number James Bradley Graham D.M.D. has the Individual type.

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1053302216 NPI number is provided on an as is basis without warranty of any kind. 1053302216 is maintained by the National Plan & Provider Enumeration System. The contents of James Bradley Graham D.M.D. are for informational purposes only.