NPI 1922044437 · live from the CMS NPI Registry
Randall Ellis Jack, M.D.
Obstetrics & Gynecology, Gynecology in Reno, NV. National Provider Identifier 1922044437, active.
NPI record
| NPI | 1922044437 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Obstetrics & Gynecology, Gynecology 207VG0400X |
| Practice location | 635 Innovation Dr Ste 300, Reno, NV 89511 |
| Practice phone | 775-329-6241 |
| Enumerated | June 22, 2006 |
| Last updated | April 12, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology, Gynecology primary | 207VG0400X | 13040 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.