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Organization
JERRY L. CALLAWAY M.D., INC
Active
Organization
JERRY L. CALLAWAY M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY L. CALLAWAY M.D. (PRESIDENT)
(408) 358-3715
Entity
Organization
Contact information
Practice address
2512 SAMARITAN CT, SUITE M., SAN JOSE, CA 95124-4002
(408) 358-3715
(408) 356-9189
Mailing address
2512 SAMARITAN CT, SUITE M, SAN JOSE, CA 95124-4002
(408) 358-3715
(408) 356-9189
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/05/2012
Last updated
04/05/2012
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