Organization
SURGICAL AND TRAUMA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAMON CHARLES FRACH PHD (OFFICE/BILLING MANAGER)
(408) 984-2455
Entity
Organization
Contact information
Practice address
3234 MCKINLEY DR, SANTA CLARA, CA 95051-6765
(408) 984-2455
(408) 984-2456
Mailing address
3234 MCKINLEY DR, SANTA CLARA, CA 95051-6765
(408) 984-2455
(408) 984-2456
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
06/28/2011
Last updated
07/05/2011
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