MICHAEL CLYDE GRAHAM

POTLATCH, ID
NPI1205901477
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA594)
Enumeration Date2006-11-22
Last Update Date2012-06-20
Business Address
Mr. MICHAEL CLYDE GRAHAM P.A.
225 6TH ST
POTLATCH, ID 83855-5002
Phone number: 208-883-2220
Mailing Address
Mr. MICHAEL CLYDE GRAHAM P.A.
225 6TH ST
POTLATCH, ID 83855-5002
Phone number: 208-883-2220
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