JACK GREGORY GRAHAM

INDIANAPOLIS, IN
NPI1447713920
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: IN  01092322A)
Additional Taxonomies207XS0106X Orthopaedic Surgery, Hand Surgery
(Licence: IN  01092322A)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-04-10
Last Update Date2024-06-28
Business Address
JACK GREGORY GRAHAM MD
8501 HARCOURT RD
INDIANAPOLIS, IN 46260-2046
Phone number: 317-875-9105
Mailing Address
JACK GREGORY GRAHAM MD
8501 HARCOURT RD
INDIANAPOLIS, IN 46260-2046
Phone number: 317-875-9105