Jack L Graham, MD, PC
Jack L Graham, MD, PC is a Dermatology Physician in Roswell, New Mexico. Licensed in New Mexico. Registered with an NPI since 2006.
- Licensed in
- NM
- In the registry since
- 2006
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1600 SE Main St Ste ERoswell, NM 88203-5423
Phone: (505) 623-8100
Fax: (505) 623-8101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence 74-39 (NM) |
|---|
Record details
| NPI number | 1285730952 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jack Graham — Owner · (505) 623-8100 |
| NPI enumerated | September 16, 2006 |
| Last updated in NPPES | July 11, 2008 |
| Mailing address | 1600 Se Main St Ste E, Roswell, NM 88203-5423 |
Other providers in Roswell
-
Dr. Jackie Lynn Graham IV, MD
1600 SE Main St Ste E, Roswell, NM 88203-5423 · (505) 623-8100
-
John C. Henry, MD, PA
207 N Union Ave Ste C, Roswell, NM 88201-3068 · (575) 624-2330