| Doctor Name: | JONATHAN C. GRAHAM |
| NPI Number: | 1003996901 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.M. |
| License Number: | E4772 |
| Business Practice Address: | 502 N 40th Ave Yakima, WA - 989084319 |
| Business Phone Number: | 5099650625 |
| Business Fax Number: | 5099664967 |
| Mailing Address: | 1800 River Rd, Apartment 152 YAKIMA |
| State: | WA |
| Postal Code: | 989021263 |
| Phone Number: | 8019186581 |
| Fax Number: | 8019186581 |
| NPI Enumeration Date: | 10/16/2006 |
| NPI Last Update Date: | 06/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | E4772 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |