GREGORY SCOTT JACK

SANTA MONICA, CA
NPI1447503826
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: CA  A83253)
Enumeration Date2012-10-22
Last Update Date2013-01-30
Business Address
-- GREGORY SCOTT JACK M.D.
1260 15TH ST 1200
SANTA MONICA, CA 90404-1135
Phone number: 310-794-7700
Mailing Address
-- GREGORY SCOTT JACK M.D.
200 MEDICAL PLZ 140
LOS ANGELES, CA 90095-0001
Phone number: 310-825-1172
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