Viktoria Graham, PA
Physician Assistant in Fort Myers, FL. Individual provider (NPI-1).
NPI number1669907358
StatusActive
Last updated in NPPESFeb 8, 2021
Details
- NPI
- 1669907358
- Entity type
- Individual (NPI-1)
- Name
- Viktoria Graham
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 1, 2017
- Certification date
- Feb 8, 2021
- Last updated
- Feb 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA9109800 | FL | Yes |
Practice location
39 Barkley CirFort Myers, FL 33907-7531
Phone 239-939-1002 · Fax 239-495-6247
Mailing address
39 Barkley CirFort Myers, FL 33907-7531
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