Jack W Griffith in Rancho Cucamonga - Mohs-micrographic Surgery
Jack W Griffith - NPI 1407884315
Jack W Griffith is a Mohs-micrographic Surgery in Rancho Cucamonga, California. Jack W Griffith practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for Jack W Griffith is 1407884315. The last update date is 2014-11-07.
Jack W Griffith's current location address is 7365 Carnelian St, Rancho Cucamonga, California. You can contact this provider via phone number 9099488888 and fax number 9099488839. The mailing address for Jack W Griffith is 7365 Carnelian St, Rancho Cucamonga, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack W Griffith |
|---|---|
| Address | 7365 Carnelian St, Rancho Cucamonga, California |
| Phone Number | 9099488888 |
| Fax Number | 9099488839 |
| Sole Proprietor | Y |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1407884315 |
|---|---|
| Provider Enumeration Date | 2006-06-29 |
| Last Updated Date | 2014-11-07 |
Provider Mailing Address Detail
| Address | 7365 Carnelian St |
|---|---|
| City | Rancho Cucamonga |
| State | California (CA) |
| Post Code | 917301158 |
| Phone Number | 9099488888 |
| Fax Number | 9099488839 |
Provider's Primary Taxonomy Detail
| Speciality | Mohs-micrographic Surgery |
|---|---|
| Taxonomy | 207Nd0101X |
| Licence No | 20A9405 |
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Definition: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00AX94050 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jack W Griffith by the Centers for Medicare & Medicaid Services?
The Jack W Griffith has been issued the NPI (National Provider Identifier) 1407884315, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jack W Griffith located?
The Jack W Griffith is located at 7365 Carnelian St, Rancho Cucamonga, CA 917301158.
What is the Jack W Griffith's area of specialization and corresponding taxonomy classification?
The Jack W Griffith's specialty field is Mohs-micrographic Surgery, and it falls under the taxonomy code 207Nd0101X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1407884315 to Jack W Griffith?
The Centers for Medicare & Medicaid Services assigned the 1407884315 to Jack W Griffith on 2006-06-29.
When was the information pertaining to Jack W Griffith most recently updated or revised?
The details related to Jack W Griffith, including its address, specialty, and other relevant information, were last updated or revised on 2014-11-07.
NPI Number: 1730182858
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