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

MR. NICHOLAS JAMES GRAHAM, IDMT

Active

MR. NICHOLAS JAMES GRAHAM, IDMT is a Independent Duty Medical Technician healthcare provider located in FAIRCHILD AFB, Washington. NPI 1730317728 is currently active in the NPPES registry. Verify at CMS.

Independent Duty Medical Technician · FAIRCHILD AFB, WA

Registration Details

NPI Number
1730317728
Provider Type
Individual
Gender
Male
NPI Issued
Jun 29, 2009 (17.091330202604 yrs)
Last Updated
Jun 29, 2009

Practice Information

Address
2504 S.CHICAGO ST
FAIRCHILD AFB, WA, 99011
Browse WA providers · Browse ZIP 99011
Phone
5096575414
Primary Specialty
Independent Duty Medical Technician
1710I1003X

Other Independent Duty Medical Technician Providers in FAIRCHILD AFB, WA

Name Credential NPI
MR. JOSEPH DAVID BROWNELL IDMT 1245473339
KERILYN SHIGIHARA IDMT 1336383173
MR. BRIAN BARTON IDMT 1225262454
MEREDITH ROSE GRANHOLM IDMT 1750515342
CLAUDIO ALEJANDRO CASTILLO IDMT 1841428109
MR. ROBERT MICHAEL SIEBENALER IDMT 1306074513
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.