Organization
SOUTH BAY BARIATRICS MEDICAL CORPORATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT V MCKEEN JR. M.D. (OWNER)
(408) 402-9911
Entity
Organization
Contact information
Practice address
2505 SAMARITAN DR, SUITE 600, SAN JOSE, CA 95124-4006
(408) 402-9911
(408) 402-9901
Mailing address
2505 SAMARITAN DR, SUITE 600, SAN JOSE, CA 95124-4006
(408) 402-9911
(408) 402-9901
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C51274
CA
Other
Enumeration date
11/19/2009
Last updated
02/08/2010
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