Dr. William Noble Graham
Facial Plastic Surgeon
625 N Foster St Suite 203
Mitchell
, South Dakota 57301-2969
Dr. William Noble Graham
Facial Plastic Surgeon
625 N Foster St Suite 203
Mitchell
, South Dakota 57301-2969
(605) 996-9153
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About
Features
Specialties
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Dr. William Noble Graham
- 625 N Foster St Suite 203
- Mitchell, SD
- Zip : 57301-2969
- Fax : (605) 996-9153
- Phone : (605) 996-8386
Second Address
- Dr. William Noble Graham
- 625 N Foster St Suite 203
- Mitchell, SD
- Zip : 57301-2969
- Fax : (605) 996-9153
- Phone : (605) 996-8386
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YS0123X | Facial Plastic Surgeon | 4248 | SD |
National Provider Identifier
| NPI | 1558450254 |
|---|---|
| Provider Name | Dr. William Noble Graham |
| First Address | Mitchell, SD 57301-2969 |
| Second Address | Mitchell, SD 57301-2969 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/10/2006 |
| Last Update Date | 11/05/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0005047 | BCBS (01) | SD |
| 20223 | SIOUX VALLEY (01) | SD |
| 2070 | AVERA HEALTH (01) | SD |
| 6520252 | (05) | SD |
| G48495 | (02) | SD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.