Basic Information
Provider Information
NPI: 1205868882
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GRAFF-RADFORD
FirstName: ADRIAN
MiddleName: STANLEY
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
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Mailing Information
Address1: PO BOX 1810
Address2:  
City: RANCHO MIRAGE
State: CA
PostalCode: 922701059
CountryCode: US
TelephoneNumber: 7605682684
FaxNumber: 7608372267
Practice Location
Address1: 39000 BOB HOPE DR
Address2: HARRY & DIANE RINKER BUILDING
City: RANCHO MIRAGE
State: CA
PostalCode: 922703221
CountryCode: US
TelephoneNumber: 7605682684
FaxNumber: 7608372267
Other Information
ProviderEnumerationDate: 07/06/2006
LastUpdateDate: 05/13/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000XA31848CAY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
207XS0114XA31848CAN Allopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery

No ID Information.


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