| Organization Name: | GRAHAM EAR, NOSE & THROAT P.C. |
| NPI Number: | 1063647154 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM NOBLE GRAHAM (OWNER) |
| Mailing Address: | 625 N Foster St Ste 203 Mitchell |
| State: | SD US |
| Postal Code: | 573012969 |
| Phone Number: | 6059968386 |
| Fax Number: | 6059969153 |
| NPI Enumeration Date: | 05/19/2009 |
| NPI Last Update Date: | 05/19/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207YS0123X |
| License Number: | 4248 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Otolaryngology |
| Taxonomy Specialization: | Facial Plastic Surgery |
| Taxonomy Definition: | An otolaryngologist who specializes in facial plastic surgery. |