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Jack Gregory Graham, MD
Student in an Organized Health Care Education/Training Program in Philadelphia, Pennsylvania
NPI 1447713920

Jack Gregory Graham is a Student in an Organized Health Care Education/Training Program based in Philadelphia, PA. Jack Gregory Graham practices in Philadelphia, PA and has the professional credentials of MD. The NPI Number for Jack Gregory Graham is 1447713920 and holds a License No. 01092322A (Pennsylvania).

The current practice location address for Jack Gregory Graham is 925 Chestnut Street, Philadelphia, PA and can be reached out via phone at 610-703-7396.

Location: 925 Chestnut Street, Philadelphia, PA, 19107-4206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447713920
Provider Name
Jack Gregory Graham
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
925 Chestnut Street, Philadelphia, PA, 19107-4206
Phone Number
610-703-7396
Fax Number
Provider Enumeration Date
04/10/2019
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01092322A 01 IN STATE LICENSE
300085092 05 IN
institution
Provider Business Practice Location Address Details
Address
925 Chestnut Street
City
Philadelphia
State
Pennsylvania
Zip
19107-4206
Phone Number
610-703-7396
Fax Number
person
Provider Business Mailing Address Details
Address
925 Chestnut Street
City
Philadelphia
State
Pennsylvania
Zip
19107-4206
Phone Number
610-703-7396
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
()
Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Hand Surgery
Taxonomy
207XS0106X
License No.
01092322A (Indiana)
Definition
An orthopedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
01092322A (Indiana)
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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