Dr. Jack W Griffith III
Internist Dermatologist Emergency Physician MOHS-Micrographic Surgeon
7365 Carnelian St Suite 137
Rancho Cucamonga
, California 91730-1158
Dr. Jack W Griffith III
Internist Dermatologist Emergency Physician MOHS-Micrographic Surgeon
7365 Carnelian St Suite 137
Rancho Cucamonga
, California 91730-1158
(909) 948-8839
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
- Emergency Physician
- Internist
Languages spoken
- English
Location
First Address
- Dr. Jack W Griffith III
- 7365 Carnelian St Suite 137
- Rancho Cucamonga, CA
- Zip : 91730-1158
- Fax : (909) 948-8839
- Phone : (909) 948-8888
Second Address
- Dr. Jack W Griffith III
- 7365 Carnelian St Suite 137
- Rancho Cucamonga, CA
- Zip : 91730-1158
- Fax : (909) 948-8839
- Phone : (909) 948-8888
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FAQs
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Where is Dr. Jack W Griffith III’s practice located?
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Is Dr. Jack W Griffith III a sole practitioner?
Is Dr. Jack W Griffith III accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 20A9405 | CA |
| N | 207ND0101X | MOHS-Micrographic Surgeon | 20A9405 | CA |
| N | 207P00000X | Emergency Physician | 20A9405 | CA |
| N | 207R00000X | Internist | 20A9405 | CA |
| N | 111NI0900X | Internist | 20A9405 | CA |
National Provider Identifier
| NPI | 1407884315 |
|---|---|
| Provider Name | Dr. Jack W Griffith III |
| First Address | Rancho Cucamonga, CA 91730-1158 |
| Second Address | Rancho Cucamonga, CA 91730-1158 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/06/2006 |
| Last Update Date | 07/11/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00AX94050 | (05) | CA |
| I54825 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.