Individual
DR. JACK W GRIFFITH III
Active
Individual
DR. JACK W GRIFFITH III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
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
07/06/2026
Update your record
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