DR. STEPHEN J. GRAHAM M.D.
NPI 1790778520
General Practice in Gold Canyon, AZ

Q: What is Stephen Graham's NPI number?

The NPI number for Stephen Graham is 1790778520. It was assigned to this individual provider in the NPPES registry on August 26, 2005.

Q: What is Stephen Graham's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Graham was last updated on July 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 26, 2005

9983 E DESERT TRAIL LN, GOLD CANYON, AZ 85118(406) 425-1355(801) 618-4185 Get Directions Write a Review

NPPES record last updated: July 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2021, May 12, 2020, Sep 8, 2019 and 1 more (4 updates tracked since 2019).

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About Dr. Stephen J. Graham M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STEPHEN J. GRAHAM M.D. (NPI 1790778520) is an individual general practice provider in Gold Canyon, Arizona, licensed in Utah (184400-1205) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1790778520

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. STEPHEN J. GRAHAMCredential: M.D.

Location Address9983 E DESERT TRAIL LNGold Canyon, AZ 85118-4922

Mailing Address9983 E Desert Trail LnGold Canyon, AZ 85118-4922 · (064) 251-3554 · Fax (801) 618-4185

Phone(406) 425-1355

Fax(801) 618-4185

Sole ProprietorNo

Enumeration DateAugust 26, 2005

Last NPPES UpdateJuly 13, 20214 updates tracked since enumeration

NPPES CertifiedJuly 13, 2021

✔ NPI 1790778520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Licenses✔ Licensed in UT · 184400-1205✔ Licensed in AZ · 19987

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedOphthalmologyTaxonomy 207W00000X · License 19987 (AZ), 184400-1205 (UT)

9983 E DESERT TRAIL LN, Gold Canyon, AZ 85118

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Other Identifiers 1

Medicaid508021AZ

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Graham's NPI number?

The NPI number for Stephen Graham is 1790778520. It was assigned to this individual provider in the NPPES registry on August 26, 2005.

Where is Stephen Graham located?

Stephen Graham practices at 9983 E Desert Trail Ln, Gold Canyon, AZ 85118. The listed phone number is (406) 425-1355.

What is Stephen Graham's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Stephen Graham was last updated on July 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.