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Dr. Jean Graham, MD
Specialist in Farmington, New Mexico
NPI 1508920661

Jean Graham is a Specialist based in Hesperus, NM. Jean Graham practices in Farmington, NM and has the professional credentials of MD. The NPI Number for Jean Graham is 1508920661 and holds a License No. 97-254 (New Mexico).

The current practice location address for Jean Graham is 4801 N Butler Ave, Farmington, NM and can be reached out via phone at 505-324-8375.

Location: 4801 N Butler Ave, Farmington, NM, 81326-9752
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508920661
Provider Name
Jean Graham
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4801 N Butler Ave, Farmington, NM, 81326-9752
Phone Number
505-324-8375
Fax Number
Provider Enumeration Date
12/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q2833 05 NM
84-1497491-001 01 CO ROCKY MT HMO
NM012425 01 NM BLUE CROSS BLUE SHIELD NM
institution
Provider Business Practice Location Address Details
Address
4801 N Butler Ave
City
Farmington
State
New Mexico
Zip
87401-6002
Phone Number
505-324-8375
Fax Number
person
Provider Business Mailing Address Details
Address
4801 N Butler Ave
City
Farmington
State
New Mexico
Zip
87401-6002
Phone Number
505-324-8375
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
97-254 (New Mexico)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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