Individual
KEITH EDWARD FRAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
751 S BASCOM AVE, DIAGNOSTIC IMAGING DEPARTMENT, SAN JOSE, CA 95128-2604
(408) 885-6370
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-5000
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
C30182
CA
2085R0202X
Diagnostic Radiology Physician
Primary
C30182
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C301820
—
CA
Enumeration date
04/06/2006
Last updated
01/07/2009
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