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Billy D Graham, PA-C
Surgical Physician Assistant in Roseville, California
NPI 1750479374

Billy D Graham is a Surgical Physician Assistant based in Sacramento, CA and is specialized in Surgical. Billy D Graham practices in Roseville, CA and has the professional credentials of PA-C. The NPI Number for Billy D Graham is 1750479374 and holds a License No. PA15123 (California).

The current practice location address for Billy D Graham is 1 Medical Plaza Dr, Roseville, CA and can be reached out via phone at 916-781-1002 and via fax at 916-781-1003.

Location: 1 Medical Plaza Dr, Roseville, CA, 95827-2539
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750479374
Provider Name
Billy D Graham
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1 Medical Plaza Dr, Roseville, CA, 95827-2539
Phone Number
916-781-1002
Fax Number
916-781-1003
Provider Enumeration Date
10/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00PA15123 05 CA
institution
Provider Business Practice Location Address Details
Address
1 Medical Plaza Dr
City
Roseville
State
California
Zip
95661
Phone Number
916-781-1002
Fax Number
916-781-1003
person
Provider Business Mailing Address Details
Address
1 Medical Plaza Dr
City
Roseville
State
California
Zip
95661
Phone Number
916-781-1002
Fax Number
916-781-1003
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
PA15123 (California)
Definition
Definition to come...
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