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Gregory Scott Jack, MD
Urology Physician in Santa Monica, California
NPI 1447503826

Gregory Scott Jack is a Urology Physician based in Los Angeles, CA. Gregory Scott Jack practices in Santa Monica, CA and has the professional credentials of MD. The NPI Number for Gregory Scott Jack is 1447503826 and holds a License No. A83253 (California).

The current practice location address for Gregory Scott Jack is 1260 15Th St, Santa Monica, CA and can be reached out via phone at 310-794-7700 and via fax at 310-939-5302.

Location: 1260 15Th St, Santa Monica, CA, 90095-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447503826
Provider Name
Gregory Scott Jack
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1260 15Th St, Santa Monica, CA, 90095-0001
Phone Number
310-794-7700
Fax Number
310-939-5302
Provider Enumeration Date
10/22/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1447503826 05 CA
institution
Provider Business Practice Location Address Details
Address
1260 15Th St
City
Santa Monica
State
California
Zip
90404-1135
Phone Number
310-794-7700
Fax Number
310-939-5302
person
Provider Business Mailing Address Details
Address
1260 15Th St
City
Santa Monica
State
California
Zip
90404-1135
Phone Number
310-794-7700
Fax Number
310-939-5302
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
A83253 (California)
Definition
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.
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