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Organization

JONATHAN DAVIES RPA-C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAMON FRACH PH.D. (BILLING MANAGER)
(408) 984-2455
Entity
Organization

Contact information

Practice address
53 CRONIN DR, SANTA CLARA, CA 95051-6719
(408) 984-2455
(408) 984-2456
Mailing address
53 CRONIN DR, SANTA CLARA, CA 95051-6719
(408) 984-2455
(408) 984-2456

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
51498
CA

Other

Enumeration date
08/26/2016
Last updated
08/26/2016
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