SAMUEL C BALLON MD FACOG FACS FRCSC A PROF CORPORATION

SAN JOSE, CA
NPI1205012127
Entity TypeOrganization
Authorized ContactSAMUEL C BALLON
CEO
408-356-3725
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: CA  G21751)
Enumeration Date2008-01-10
Last Update Date2015-05-12
Business Address
SAMUEL C BALLON MD FACOG FACS FRCSC A PROF CORPORATION
2504 SAMARITAN DR STE 20
SAN JOSE, CA 95124-4005
Phone number: 408-356-3725
Mailing Address
SAMUEL C BALLON MD FACOG FACS FRCSC A PROF CORPORATION
2504 SAMARITAN DR STE 20
SAN JOSE, CA 95124-4005
Phone number: 408-356-3725
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