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Grady Lynn Jeter, MD
Specialist in San Jose, California
NPI 1760584510

Grady Lynn Jeter is a Specialist based in San Jose, CA. Grady Lynn Jeter practices in San Jose, CA and has the professional credentials of MD. The NPI Number for Grady Lynn Jeter is 1760584510 and holds a License No. C30088 (California).

The current practice location address for Grady Lynn Jeter is 2430 Samaritan Dr, San Jose, CA and can be reached out via phone at 408-559-4343 and via fax at 408-371-6387.

Location: 2430 Samaritan Dr, San Jose, CA, 95124-3907
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760584510
Provider Name
Grady Lynn Jeter
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2430 Samaritan Dr, San Jose, CA, 95124-3907
Phone Number
408-559-4343
Fax Number
408-371-6387
Provider Enumeration Date
09/02/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2430 Samaritan Dr
City
San Jose
State
California
Zip
95124-3907
Phone Number
408-559-4343
Fax Number
408-371-6387
person
Provider Business Mailing Address Details
Address
2430 Samaritan Dr
City
San Jose
State
California
Zip
95124-3907
Phone Number
408-559-4343
Fax Number
408-371-6387
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
C30088 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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