IndividualActive
Alexis Graham, MD
NPI 1124418447 · Vascular Surgery Physician · Boise, ID
Provider details
- NPI number
- 1124418447
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 82235-20 (WI)
Practice location
333 N 1st St Ste 280
Boise, ID 83702-6132
Phone: (208) 345-6545
Fax: (208) 345-1213
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Registry dates
- Enumerated
- 2015-01-26
- Last updated
- 2025-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.