Organization
GRADY L JETER M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRADY L JETER M.D. (PRESIDENT)
(408) 559-4343
Entity
Organization
Contact information
Practice address
2430 SAMARITAN DR, SAN JOSE, CA 95124-3907
(408) 559-4343
(408) 371-6387
Mailing address
2430 SAMARITAN DR, SAN JOSE, CA 95124-3907
(408) 559-4343
(408) 371-6387
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
C30088
CA
Other
Enumeration date
06/22/2010
Last updated
11/04/2010
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