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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACK W. GRIFFITH, III, D.O.

Active Organization

JACK W. GRIFFITH, III, D.O. is a Dermatology organization located in RANCHO CUCAMONGA, California. NPI 1104126457 is currently active in the NPPES registry. Verify at CMS.

Dermatology · RANCHO CUCAMONGA, CA

Registration Details

NPI Number
1104126457
Provider Type
Organization
NPI Issued
Nov 2, 2010 (15.794283242361 yrs)
Last Updated
May 28, 2014
Licenses
20A9405 (CA)
20A9405 (CA)
20A9405 (CA)
20A9405 (CA)
20A9405 (CA)

Practice Information

Address
7365 CARNELIAN STREET
SUITE 137
RANCHO CUCAMONGA, CA, 917301100
Browse CA providers · Browse ZIP 91730
Phone
9099488888
Fax
9099488839
Primary Specialty
Dermatology
207N00000X
Additional Specialty
Dermatopathology
Additional Specialty
207NP0225X
Additional Specialty
Procedural Dermatology

Other Dermatology Organizations in RANCHO CUCAMONGA, CA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.