Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL CLYDE GRAHAM, P.A.
ActivePhysician Assistant · POTLATCH, ID
Registration Details
- NPI Number
- 1205901477
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 22, 2006 (19.446215181883 yrs)
- Last Updated
- Jun 20, 2012
- License
-
PA594 (ID)
Practice Information
- Address
-
225 6TH STPOTLATCH, ID, 838555002Browse ID providers · Browse ZIP 83855
- Phone
- 2088832220
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in POTLATCH, ID
| Name | Credential | NPI |
|---|---|---|
| CHARLOTTE S AINGE | PAC | 1689661050 |
| SKYLER S WORTHINGTON | PA-C | 1992091722 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.