CHARLES RUSSELL GRAHAM

WEST DES MOINES, IA
NPI1629039565
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IA  001613)
Enumeration Date2006-03-30
Last Update Date2022-12-29
Business Address
CHARLES RUSSELL GRAHAM PA-C
6001 WESTOWN PKWY
WEST DES MOINES, IA 50266-7719
Phone number: 515-224-1414
Mailing Address
CHARLES RUSSELL GRAHAM PA-C
6001 WESTOWN PARKWAY
WEST DES MOINES, IA 50266-7702
Phone number: 515-224-1414
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