DERREL DEWAYNE GRAHAM

SHREVEPORT, LA
NPI1447276324
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: LA  021596)
Enumeration Date2006-07-14
Last Update Date2009-07-29
Business Address
-- DERREL DEWAYNE GRAHAM M.D.
1501 KINGS HWY DEPARTMENT OF EMERGENCY MEDICINE
SHREVEPORT, LA 71103-4228
Phone number: 318-675-6880
Mailing Address
-- DERREL DEWAYNE GRAHAM M.D.
1501 KINGS HWY DEPARTMENT OF EMERGENCY MEDICINE
SHREVEPORT, LA 71103-4228
Phone number: 318-675-6880
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