Individual provider · NPI-1

David Jegge

Surgery · San Mateo, CA

NPI number1659593556
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1659593556
Entity type
Individual (NPI-1)
Name
David Jegge
Sex
Male
Sole proprietor
Yes
Enumeration date
May 2, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X SurgeryG53860CAYes

Practice location

50 South San Mateo Drive, #360
San Mateo, CA 94401

Phone 650-342-9491

Mailing address

50 South San Mateo Drive, #360
San Mateo, CA 94401

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