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Robert Lionel Jack, MD
Specialist in Menlo Park, California
NPI 1376601443

Robert Lionel Jack is a Specialist based in Palo Alto, CA. Robert Lionel Jack practices in Menlo Park, CA and has the professional credentials of MD. The NPI Number for Robert Lionel Jack is 1376601443 and holds a License No. G17236 (California).

The current practice location address for Robert Lionel Jack is 1225 Crane St, Menlo Park, CA and can be reached out via phone at 650-323-0231 and via fax at 650-565-8297.

Location: 1225 Crane St, Menlo Park, CA, 94303-3216
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376601443
Provider Name
Robert Lionel Jack
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1225 Crane St, Menlo Park, CA, 94303-3216
Phone Number
650-323-0231
Fax Number
650-565-8297
Provider Enumeration Date
12/04/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1225 Crane St
City
Menlo Park
State
California
Zip
94025-4257
Phone Number
650-323-0231
Fax Number
650-565-8297
person
Provider Business Mailing Address Details
Address
1225 Crane St
City
Menlo Park
State
California
Zip
94025-4257
Phone Number
650-323-0231
Fax Number
650-565-8297
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G17236 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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