Individual
JOHN WESLEY EMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., D.D.S.
Contact information
Practice address
15780 LOS GATOS BLVD, LOS GATOS, CA 95032-2508
(408) 358-5000
(408) 358-7936
Mailing address
15780 LOS GATOS BLVD, LOS GATOS, CA 95032-2508
(408) 358-5000
(408) 358-7936
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
A47705
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
878
ANESTHESIA
CA
Enumeration date
11/17/2006
Last updated
03/07/2023
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