Dr Stephen J Graham, MD is a
General Practice physician based in Gold Canyon, Arizona. Dr Stephen J Graham is licensed to practice in Utah (license number 184400-1205) and his current practice location is 9983 E Desert Trail Ln, Gold Canyon, Arizona. He can be reached at his office (for appointments etc.) via phone at
(406) 425-1355.
NPI number for Dr Stephen J Graham is 1790778520 and his current mailing address is 9983 E Desert Trail Ln, Gold Canyon, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790778520.
Physician's Profile
| Full Name | Dr Stephen J Graham |
|---|
| Gender | Male |
|---|
| Speciality | General Practice |
|---|
| Location | 9983 E Desert Trail Ln, Gold Canyon, Arizona |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1790778520
- Provider Enumeration Date: 08/26/2005
- Last Update Date: 07/13/2021
Medical Identifiers
Medical identifiers for Dr Stephen J Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790778520 | NPI | - | NPPES |
| 508021 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | 184400-1205 (Utah) | Secondary |
| 207W00000X | Ophthalmology | 19987 (Arizona) | Secondary |
| 208D00000X | General Practice | 19987 (Arizona) | Secondary |
| 208D00000X | General Practice | 184400-1205 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Stephen J Graham is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Stephen J Graham, MD
9983 E Desert Trail Ln,
Gold Canyon, AZ 85118-4922
Ph: (064) 251-3554 | Dr Stephen J Graham, MD
9983 E Desert Trail Ln,
Gold Canyon, AZ 85118-4922
Ph: (406) 425-1355 |
Reviews and Comments