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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BLAKE D GRAHAM, MD

Active

DR. BLAKE D GRAHAM, MD is a Pediatrics healthcare provider located in FT CARSON, Colorado. NPI 1639130180 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · FT CARSON, CO

Registration Details

NPI Number
1639130180
Provider Type
Individual
Gender
Male
NPI Issued
Mar 31, 2006 (20.403457845578 yrs)
Last Updated
Feb 4, 2022
Licenses
DR.0054808 (CO)
274742-1205 (UT)

Practice Information

Address
1650 COCHRANE CIR
PEDIATRICS
FT CARSON, CO, 809134603
Browse CO providers · Browse ZIP 80913
Phone
7195267653
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Pediatrics

Other Pediatrics Providers in FT CARSON, CO

Name Credential NPI
DR. TEODORA THOMPSON M.D. 1215352075
KATHERINE BUECHNER 1679033666
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.