NPI 1275601320 MATTHEW DUANE GRAHAM D.O. PETERSON AFB CO. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Matthew Duane Graham - NPI: 1275601320

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MATTHEW DUANE GRAHAM
NPI Number: 1275601320
Entity Type Code: Individual (1)
Gender: M
Credentials: D.O.
License Number:
Business Practice Address: 559 Vincent St
Peterson Afb, CO - 809141541
Business Phone Number: 7195562273
Business Fax Number: 8668677926
Mailing Address: 559 Vincent St,
PETERSON AFB
State: CO
Postal Code: 809141541
Phone Number: 7195562273
Fax Number: 8668677926
NPI Enumeration Date: 11/30/2006
NPI Last Update Date: 08/10/2012
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 390200000X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
N
State:
Taxonomy Type: Student, Health Care
Taxonomy Classification: Student in an Organized Health Care Education/Training Program
Taxonomy Specialization:
Taxonomy Definition:
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.


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