GREGORY SCOTT JACK M.D. NPI 1447503826

NPI Information

Gregory Scott Jack, M.D. is an urology in Santa Monica, CA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. Gregory Scott Jack, M.D. NPI is 1447503826. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1260 15TH ST
1200
SANTA MONICA, CA
ZIP 90404-135
Phone: (310) 794-7700
Fax: (310) 939-5302

The enumeration date for this NPI number is 10/22/2012 and was last updated on 1/30/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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