METAMORPH, INC.
Organization (NPI-2)
Active
Physician Assistant
Provider Information
- NPI Number
1902106982- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 7725 KILMARNOK DR, SAN JOSE, CA, 951352140
- Phone
- (408) 852-0703
Specialties & Taxonomies
Physician Assistant, Medical
License: CA #17859
Physician Assistant, Surgical
License: CA #17859
Physician Assistant
Primary License: CA #17859