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Individual

LEO B SEMKIW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2430 SAMARITAN DR, SAN JOSE, CA 95124-3907
(408) 371-5300
(408) 371-6387
Mailing address
2430 SAMARITAN DR, SAN JOSE, CA 95124-3907
(408) 371-5300
(408) 371-6387

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G56561
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
030493774
TAX INDENTIFICATION NUMBER
CA
01
1245247196
GROUP NPI NUMBER
CA
Enumeration date
08/12/2006
Last updated
11/14/2008
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