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Contact Information

ROBERT W GRAHAM, DO
800 MERCY DR
COUNCIL BLUFFS, IA51503-3128
 Phone: 800-875-0136
 Fax: 937-619-4150
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ROBERT W GRAHAM · (Male)

NPI # 1629393160
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/27/2010
Last updated 06/03/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 4438
Hospital affiliation(s)
  • ALEGENT HEALTH MERCY HOSPITAL - (Acute Care)
    800 MERCY DRIVE
    COUNCIL BLUFFS, IA 51503
  • SALT LAKE REGIONAL MEDICAL CENTER - (Acute Care)
    1050 EAST SOUTH TEMPLE
    SALT LAKE CITY, UT 84102
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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