Graham, Stephen J.

Graham, Stephen J. is an individual health care provider with primary practice located at 9983 E Desert Trail Ln , Gold Canyon AZ 85118-4922. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Graham, Stephen J. can be contacted via phone (406) 425-1355.

Contact Information

Primary practice address
9983 E Desert Trail Ln Gold Canyon AZ 85118-4922
Phone: (406) 425-1355
Fax: (801) 618-4185
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 184400-1205 Utah
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 19987 Arizona
Allopathic & Osteopathic Physicians / General Practice 208D00000X 19987 Arizona
Allopathic & Osteopathic Physicians / General Practice 208D00000X 184400-1205 Utah

Profile Details

NPI number 1790778520
LBN Legal business name Graham, Stephen J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Jul 13th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790778520 NPPES
Arizona MEDICAID 508021

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