Individual provider · Type 1 NPI

Randall Ellis Jack, MD

Gynecology Physician · Reno, NV

NPI number 1922044437 Active

Practice location

635 Innovation Dr Ste 300
Reno, NV 89511-2215

Call (775) 329-6241 Map

Fax (775) 329-4921

Specialties and licenses

TaxonomyCodeLicense
Gynecology Physician Primary 207VG0400X13040 (NV)

Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

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About NPI 1922044437

Randall Ellis Jack, MD's National Provider Identifier is 1922044437, issued on Jun 22, 2006. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in Reno, NV. The record was last updated on Apr 12, 2024.