DR. Jack W Griffith III, DO

NPI #1407884315 in Rancho Cucamonga, California

Provider Information

NPI Number: 1407884315
Entity Type: Individual
Name: DR. Jack W Griffith III, DO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dermatology
Credential: DO
Enumeration Date: Jun 29, 2006
Last Updated: Nov 7, 2014

Practice Location

Address: 7365 CARNELIAN ST
Address 2: SUITE 137
City: Rancho Cucamonga
State: California
ZIP Code: 91730-1158
Phone: (909) 948-8888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X
Internal Medicine	207R00000X
Dermatology	207N00000X	Primary
Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery	207ND0101X

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