John Duncan Graham III, IDMT
Military Health Care Provider, Independent Duty Medical Technicians in Apo, AP. Individual provider (NPI-1).
NPI number1114152014
StatusActive
Last updated in NPPESMay 25, 2009
Details
- NPI
- 1114152014
- Entity type
- Individual (NPI-1)
- Name
- Mr. John Duncan Graham III
- Credential
- IDMT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 20, 2009
- Last updated
- May 25, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1710I1003X | Military Health Care Provider, Independent Duty Medical Technicians | – | – | Yes |
Practice location
18 Medical Operations SquadronUnit 5269
Apo, AP 96368-5269
Phone 318-775-0292
Mailing address
Psc 80Box 17557
Apo, AP 96367
Phone 318-775-0292
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