National Provider Identifier

Douglas Graham, ATC

Douglas Graham, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Alfred, NY and a listed phone number of (607) 871-3495.

NPI 1447686332Alfred, NYAthletic Trainer

Profile Overview

NPI
1447686332
Provider Type
Individual
Primary Specialty
Athletic Trainer
Enumeration Date
September 24, 2013
Last Updated
September 24, 2013

Practice Location

  • 1 Saxon Dr McLane Center
  • Alfred, NY 14802-1205

Phone: (607) 871-3495

Specialties

  • Athletic Trainer (2255A2300X)
Full Record
NPI
1447686332
Entity Type
Individual
Last Name
Graham
First Name
Douglas
Credential
ATC
Mailing Street Address
1 Saxon Dr McLane Center
Mailing City
Alfred
Mailing State
NY
Mailing ZIP Code
14802-1205
Mailing Country
US
Practice Street Address
1 Saxon Dr McLane Center
Practice City
Alfred
Practice State
NY
Practice ZIP Code
14802-1205
Practice Country
US
Practice Phone
(607) 871-3495
Enumeration Date
September 24, 2013
Last Updated
September 24, 2013
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Athletic Trainer (2255A2300X)