DR. Randall Ellis Jack, M.D. is a gynecology obstetrics gynecology in Reno, NV. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
Source: National Uniform Claim Committee DR. Randall Ellis Jack, M.D. NPI is 1922044437. 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:
635 INNOVATION DR STE 300
RENO, NV
ZIP 89511-215
Phone: (775) 329-6241
Fax: (775) 329-4921
The NPI 1922044437 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/22/2006 and was last updated on 4/12/2024.