Larry C Graham II MD

NPI 1023090503 - Radiology - 2085N0904X

NPI Details
NPI 1023090503
Gender Male
Enumeration Date 11/18/2005
Last Updated 11/20/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
3600 E HARRY ST
WICHITA KS, 67218-3713, US
Phone (316) 689-5050
Fax (316) 689-6192
Business Location
13715 PINNACLE DR
WICHITA KS, 67230-1545, US
Phone (316) 733-2307
Fax
Toxanomy
Taxonomy Code 2085N0904X
License State Kansas
License Number 04-28763
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According to our database, Dr. Larry C Graham II MD NPI is 1023090503, taxonomy code is 2085N0904X and license number is 04-28763, license state is located at Kansas. Larry C Graham II MD physically located at 3600 E Harry St, Wichita KS, 67218-3713. NPI Number Larry C Graham II MD has the Individual type.

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1023090503 NPI number is provided on an as is basis without warranty of any kind. 1023090503 is maintained by the National Plan & Provider Enumeration System. The contents of Larry C Graham II MD are for informational purposes only.