Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | A31848 | CA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | A31848 | CA |
NPI | 1205868882 |
---|---|
Provider Name | Adrian Stanley Graff-Radford |
First Address | Rancho Mirage, CA 92270-1059 |
Second Address | Rancho Mirage, CA 92270-3221 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 13/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B50177 | (02) | CA |