RUSSELL M GRAHAM MD PA NPI 1205941119

NPI Information

RUSSELL M GRAHAM MD PA is a family medicine in Altamonte Springs, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. RUSSELL M GRAHAM MD PA NPI is 1205941119. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

679 DOUGLAS AVE
ALTAMONTE SPRINGS, FL
ZIP 32714-555
Phone: (407) 389-1195
Fax: (407) 774-4911

The provider's authorized official is Russell M Graham .
The authorized official title is President and has the following contact phone number (407) 389-1195.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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