Individual
JACK DIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
484 OAK ST, SAN FRANCISCO, CA 94102-5610
(415) 626-5199
Mailing address
1046 14TH ST, SAN FRANCISCO, CA 94114-1290
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/31/2009
Last updated
02/09/2015
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