Ali Ben-jacob MD

NPI 1083611669 - Internal Medicine - 207RH0003X

NPI Details
NPI 1083611669
Gender Male
Enumeration Date 06/28/2005
Last Updated 11/03/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
1281 NORTH 600 EAST
LOGAN UT, 84341-2443, US
Phone (435) 752-5999
Fax (435) 752-5551
Business Location
1281 NORTH 600 EAST
LOGAN UT, 84341-2443, US
Phone (435) 752-5999
Fax (435) 752-5551
Toxanomy
Taxonomy Code 207RH0003X
License State Utah
License Number 292373-1205
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According to our database, Ali Ben-jacob MD NPI is 1083611669, taxonomy code is 207RH0003X and license number is 292373-1205, license state is located at Utah. Ali Ben-jacob MD physically located at 1281 North 600 East, Logan UT, 84341-2443. NPI Number Ali Ben-jacob MD has the Individual type.

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1083611669 NPI number is provided on an as is basis without warranty of any kind. 1083611669 is maintained by the National Plan & Provider Enumeration System. The contents of Ali Ben-jacob MD are for informational purposes only.