NPI 1629393160

Robert Wallace Graham, DO

Practitioner Emergency Medicine Physician Council Bluffs, IA

Practice location

Address: 800 Mercy Dr, Council Bluffs, IA 51503-3128
Phone: (800) 875-0136
Fax: (937) 619-4150
Mailing address: 4750 Hempstead Station Dr, Kettering, OH 45429-5164

Registered specialties (2)

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 4438 (IA)

Other Emergency Medicine providers in Iowa →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1629393160
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Mar 2010
Record last updated: 3 Jun 2013

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.