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Dr. Martin Laren Graham, MD
Diagnostic Radiology Physician in Puyallup, Washington
NPI 1538123674

Martin Laren Graham is a Diagnostic Radiology Physician based in Lakewood, WA and is specialized in Diagnostic Radiology. Martin Laren Graham practices in Puyallup, WA and has the professional credentials of MD. The NPI Number for Martin Laren Graham is 1538123674 and holds a License No. 4301030616 (Washington).

The current practice location address for Martin Laren Graham is 222 15Th Ave Se, Puyallup, WA and can be reached out via phone at 253-841-4353 and via fax at 253-581-5698. You can also correspond with Martin Laren Graham through the mailing address at 7424 BRIDGEPORT WAY W, LAKEWOOD, WA - 98499-8120 (mailing address contact number: 253-841-4353).

Location: 222 15Th Ave Se, Puyallup, WA, 98499-8120
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538123674
Provider Name
Martin Laren Graham
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
222 15Th Ave Se, Puyallup, WA, 98499-8120
Phone Number
253-841-4353
Fax Number
253-581-5698
Provider Enumeration Date
04/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8194904 05 WA
74116 01 WA L&I
institution
Provider Business Practice Location Address Details
Address
222 15Th Ave Se
City
Puyallup
State
Washington
Zip
98372-3754
Phone Number
253-841-4353
Fax Number
253-581-5698
person
Provider Business Mailing Address Details
Address
7424 Bridgeport Way W
City
Lakewood
State
Washington
Zip
98499-8120
Phone Number
253-841-4353
Fax Number
253-581-5698
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
4301030616 (Michigan)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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