Whalio Doctors

NPI 1003996901

Jonathan C. Graham, DPM

Practitioner Foot & Ankle Surgery Podiatrist Yakima, WA

Practice location

Address
502 N 40th Ave, Yakima, WA 98908-4319
Phone
(509) 965-0625
Fax
(509) 966-4967
Mailing address
1800 River Rd Apartment 152, Yakima, WA 98902-1263

Registered specialties (4)

Foot & Ankle Surgery Podiatrist Primary
Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence PO60013996 (WA)
Foot & Ankle Surgery Podiatrist
Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence DPM0000000668 (TN)
Foot & Ankle Surgery Podiatrist
Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 56793490501 (UT)
Foot & Ankle Surgery Podiatrist
Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence E4772 (CA)

Registry record

NPI
1003996901
Entity type
Individual
Sex (as registered)
Male
NPI issued
16 Oct 2006
Record last updated
11 Feb 2022

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.