Provider Demographics
NPI:1952491615
Name:GRAFF, ARNOLD L (MD)
Entity Type:Individual
Prefix:
First Name:ARNOLD
Middle Name:L
Last Name:GRAFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3340 NORTH CENTER ST
Mailing Address - Street 2:#800
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-7406
Mailing Address - Country:US
Mailing Address - Phone:801-990-1911
Mailing Address - Fax:801-990-1912
Practice Address - Street 1:1380 E. MEDICAL DRIVE
Practice Address - Street 2:DIXIE REGIONAL MEDICAL CENTER
Practice Address - City:ST. GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790
Practice Address - Country:US
Practice Address - Phone:801-507-5248
Practice Address - Fax:801-733-5618
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT180084-1205207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY119017200Medicaid
AZ298019Medicaid
ID806754800Medicaid
UT99460OtherHEALTHY U
UTPRA02637OtherMOLINA
UT870545614GRFOtherEDUCATORS MUTUAL
NV100501999Medicaid
UT107007652103OtherIHC
UT2090168OtherUNITED HEALTHCARE
UTQM0000075886OtherALTIUS
UT36883OtherDESERET MUTUAL
UT71449OtherPEHP
UT1502954OtherUMWA
UTPRA02637OtherMOLINA
UT36883OtherDESERET MUTUAL
AZ298019Medicaid