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Individual

DR. JACK ZYROFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(858) 554-2626
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-2626

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
G30753
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
G30753
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G307530
CA
Enumeration date
08/03/2006
Last updated
02/06/2019
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