NPI 1023269198

Susan B Graham INC

Organisation Gynecology Physician Espanola, NM

Practice location

Address: 835 Spruce St, Espanola, NM 87532-3455
Phone: (505) 884-7059

Authorised official

Name: Susan B Graham
Title: President
Phone: (505) 884-7059

Registered specialties

Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207VG0400X Licence 86-237 (NM)

Other Obstetrics & Gynecology providers in New Mexico →

Registry record

NPI: 1023269198
Entity type: Organization
NPI issued: 7 Oct 2008
Record last updated: 7 Oct 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.