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Organization
SAMUEL C BALLON MD FACOG FACS FRCSC A PROF CORPORATION
Active
Organization
SAMUEL C BALLON MD FACOG FACS FRCSC A PROF CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL C BALLON M.D. (CEO)
(408) 356-3725
Entity
Organization
Contact information
Practice address
2504 SAMARITAN DR STE 20, SAN JOSE, CA 95124-4005
(408) 356-3725
(408) 376-3713
Mailing address
2504 SAMARITAN DR STE 20, SAN JOSE, CA 95124-4005
(408) 356-3725
(408) 376-3713
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G21751
CA
Other
Enumeration date
01/10/2008
Last updated
05/12/2015
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