Mr. Jason Randall Graham
DO | Pediatrics | Male
Mr. Jason Randall Graham, DO is a Muskogee, Oklahoma based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mr. Jason Randall Graham is
1805 N York St Ste A, Muskogee, Oklahoma - 74403-1442. He can be contacted on phone at
918-687-0201 and fax number 918-687-0665.
Mr. Jason Randall Graham is a sole proprietor of his business.
NPI number (Unique professional ID) for Mr. Jason Randall Graham is
1841202298 which was assigned by NPPES on 13 Aug, 2006 and it was last updated on 09 Jul, 2007.
Mr. Jason Randall Graham license number is
4192 for Pediatrics (208000000X) in Oklahoma.
Mr. Jason Randall Graham is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mr. Jason Randall Graham basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mr. Jason Randall Graham |
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| Credential : | DO |
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| Gender : | Male |
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Business Address:
Mr. Jason Randall Graham address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1805 N York St Ste A
Muskogee, OK, 74403-1442
United States |
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| Phone Number : | 918-687-0201 |
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| Fax Number : | 918-687-0665 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1841202298 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 13 Aug, 2006 |
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| Last Updated On : | 09 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Jason Randall Graham are as mentioned. Primary taxonomy code for Mr. Jason Randall Graham, DO is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 4192 | OK |
Legacy Identifiers:
Other legacy medical identifiers of Mr. Jason Randall Graham such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1204192 | MEDICAID | OK | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 4625 S Granite Ave
Tulsa, OK, 74135-6709
United States |
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| Phone Number : | 918-519-9801 |
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Business Location:
Patients can refer following map for directions to
Mr. Jason Randall Graham practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.