Individual provider · Type 1 NPI

Grady Lynn Jeter, MD

Specialist · San Jose, CA

NPI number 1760584510 Active

Practice location

2430 Samaritan Dr
San Jose, CA 95124-3907

Call (408) 559-4343 Map

Fax (408) 371-6387

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XC30088 (CA)

Specialist: 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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About NPI 1760584510

Grady Lynn Jeter, MD's National Provider Identifier is 1760584510, issued on Sep 2, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in San Jose, CA. The record was last updated on Nov 4, 2010.