Michael Graham, P.A

NPI 1205901477 · on the registry since 2006

Practice

Address: 225 6th St
Potlatch, ID 83855
Phone: (208) 883-2220
Organisation at this address: Dan Lawson Dds, Pc
Potlatch Family Dental, Pc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-06-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho