Dr. Randall Ellis Jack, MD
Dr. Randall Ellis Jack, MD is a Gynecology Physician in Reno, Nevada. Licensed in Nevada. Registered with an NPI since 2006.
- Licensed in
- NV
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
635 Innovation Dr Ste 300Reno, NV 89511-2215
Phone: (775) 329-6241
Fax: (775) 329-4921
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gynecology Physician (primary) | Taxonomy 207VG0400X · Licence 13040 (NV) |
|---|
Record details
| NPI number | 1922044437 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 22, 2006 |
| Last updated in NPPES | April 12, 2024 |
| Certification date | April 12, 2024 |
| Mailing address | 635 Innovation Dr Ste 300, Reno, NV 89511-2215 |
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