Mr. Michael Clyde Graham, PA
Mr. Michael Clyde Graham, PA is a Physician Assistant in Potlatch, Idaho. Qualified in 1989, 37 years ago. Practices with Kootenai Urgent Care LLC, an 18-clinician group and accepts Medicare assignment. Licensed in Idaho.
- Years since qualifying
- 37
- Licensed in
- ID
- In the registry since
- 2006
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
225 6th StPotlatch, ID 83855-5002
Phone: (208) 883-2220
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA594 (ID) |
|---|
Record details
| NPI number | 1205901477 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | November 22, 2006 |
| Last updated in NPPES | June 20, 2012 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 1989 (37 years in practice) |
| Group practice | Kootenai Urgent Care Llc — 18 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Potlatch
-
Charlotte S Ainge, PAC
156 N 6th St, Potlatch, ID 83855 · (208) 875-2380
-
Skyler S Worthington, PA-C
156 6th St, Potlatch, ID 83855 · (208) 875-2380