Individual
DR. JACK W GRIFFITH III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7365 CARNELIAN ST, SUITE 137, RANCHO CUCAMONGA, CA 91730-1158
(909) 948-8888
(909) 948-8839
Mailing address
7365 CARNELIAN ST, SUITE 137, RANCHO CUCAMONGA, CA 91730-1158
(909) 948-8888
(909) 948-8839
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
20A9405
CA
207ND0101X
MOHS-Micrographic Surgery Physician
20A9405
CA
207P00000X
Emergency Medicine Physician
20A9405
CA
207R00000X
Internal Medicine Physician
20A9405
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX94050
—
CA
Enumeration date
06/29/2006
Last updated
11/07/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us