Individual
DR. JACK SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
121 GRIFFITH PL, LOS GATOS, CA 95030-4211
(408) 497-2258
(888) 586-8609
Mailing address
121 GRIFFITH PL, LOS GATOS, CA 95030-4211
(408) 497-2258
(888) 586-8609
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G31762
CA
Other
Enumeration date
07/07/2006
Last updated
06/06/2016
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