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

DR. JACK W GRIFFITH III, DO

Active Sole Proprietor

DR. JACK W GRIFFITH III, DO is a Dermatology healthcare provider located in RANCHO CUCAMONGA, California. NPI 1407884315 is currently active in the NPPES registry. Verify at CMS.

Dermatology · RANCHO CUCAMONGA, CA

Registration Details

NPI Number
1407884315
Provider Type
Individual
Gender
Male
NPI Issued
Jun 29, 2006 (20.150746889268 yrs)
Last Updated
Nov 7, 2014
Licenses
20A9405 (CA)
20A9405 (CA)
20A9405 (CA)
20A9405 (CA)
Sole Proprietor
Yes

Practice Information

Address
7365 CARNELIAN ST
SUITE 137
RANCHO CUCAMONGA, CA, 917301158
Browse CA providers · Browse ZIP 91730
Phone
9099488888
Fax
9099488839
Primary Specialty
Dermatology
207N00000X
Additional Specialty
Internal Medicine
Additional Specialty
Dermatology
Additional Specialty
Obesity Medicine

Other Dermatology Providers in RANCHO CUCAMONGA, CA

Name Credential NPI
DAVID OPAI-TETTEH M.D. 1427077684
DR. LEE S AUSTIN MD 1982702429
DR. ISHRAT HUSAIN MD 1245320027
DR. JOHNNIE M. WOODSON JR. M.D. 1780727750
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.