# MICHAEL F. KILLION M. D. A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851545024
- **Authorized official:** DR. MICHAEL FRANCIS KILLION M.D. (PRESIDENT)
- **Authorized official phone:** (408) 356-0491

## Contact information

- **Practice address:** 2550 SAMARITAN DR, SUITE B, SAN JOSE, CA 95124-4104
- **Practice address phone:** (408) 356-0491
- **Practice address fax:** (408) 356-1960
- **Mailing address:** 2550 SAMARITAN DR, SUITE B, SAN JOSE, CA 95124-4104
- **Mailing address phone:** (408) 356-0491
- **Mailing address fax:** (408) 356-1960

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | G40716 | CA | Yes |

## Other

- **Enumeration date:** 11/13/2008
- **Last updated:** 11/13/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00G407160 | PTAN | CA |