JACK L GRAHAM, MD, PC

ROSWELL, NM
NPI1285730952
Entity TypeOrganization
Authorized ContactJACK LYNN GRAHAM
Owner
505-623-8100
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: NM  74-39)
Enumeration Date2006-09-16
Last Update Date2008-07-11
Business Address
JACK L GRAHAM, MD, PC
1600 SE MAIN ST STE E
ROSWELL, NM 88203-5423
Phone number: 505-623-8100
Mailing Address
JACK L GRAHAM, MD, PC
1600 SE MAIN ST STE E
ROSWELL, NM 88203-5423
Phone number: 505-623-8100
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