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Organization
JOHNSON SURGICAL ASSIST ASSOCIATES
Active
Organization
JOHNSON SURGICAL ASSIST ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNELLE J DUBOIS (DIRECTOR)
(408) 440-2359
Entity
Organization
Contact information
Practice address
1075 TULLY RD STE A2, SAN JOSE, CA 95122-4237
(408) 440-2359
(408) 677-4941
Mailing address
1075 TULLY RD STE A2, SAN JOSE, CA 95122-4237
(408) 440-2359
(408) 677-4941
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
CA
363A00000X
Physician Assistant
Primary
—
CA
363AS0400X
Surgical Physician Assistant
—
CA
Other
Enumeration date
01/05/2012
Last updated
01/16/2012
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