Individual
DR. JACK J SPRINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5555 GROSSMONT CENTER DR, LA MESA, CA 91942-3019
(619) 710-4145
Mailing address
5841 STRESEMANN ST, SAN DIEGO, CA 92122-3140
(858) 243-2186
(858) 597-0808
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G70780
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G707800
—
CA
Enumeration date
08/10/2005
Last updated
05/27/2008
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