Provider Demographics
NPI:1851496848
Name:KRETCHMAN, GRAHAM BARTH (MD)
Entity Type:Individual
Prefix:MR
First Name:GRAHAM
Middle Name:BARTH
Last Name:KRETCHMAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:6711 E CAMELBACK RD
Mailing Address - Street 2:#7
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-2062
Mailing Address - Country:US
Mailing Address - Phone:480-424-3850
Mailing Address - Fax:480-424-3849
Practice Address - Street 1:1010 E MCDOWELL
Practice Address - Street 2:SUITE 406
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006
Practice Address - Country:US
Practice Address - Phone:602-257-1499
Practice Address - Fax:602-253-7201
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2008-02-11
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Provider Licenses
StateLicense IDTaxonomies
AZ9683207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ215097Medicaid
AZ215097Medicaid