Keith A Jeffrey PA-C

NPI 1164461745 - Physician Assistant - 363A00000X

NPI Details
NPI 1164461745
Gender Male
Enumeration Date 06/06/2006
Last Updated 06/07/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
2000 MOWRY AVE
SUITE A
FREMONT CA, 94538-1716, US
Phone (510) 818-7200
Fax (510) 742-9334
Business Location
2000 MOWRY AVE
FREMONT CA, 94538-1716, US
Phone (510) 818-7200
Fax (510) 742-9334
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number PA16317
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According to our database, Mr. Keith A Jeffrey PA-C NPI is 1164461745, taxonomy code is 363A00000X and license number is PA16317, license state is located at California. Keith A Jeffrey PA-C physically located at 2000 Mowry Ave, Fremont CA, 94538-1716. NPI Number Keith A Jeffrey PA-C has the Individual type.

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1164461745 NPI number is provided on an as is basis without warranty of any kind. 1164461745 is maintained by the National Plan & Provider Enumeration System. The contents of Keith A Jeffrey PA-C are for informational purposes only.