Eric S Jacobsen M.D.

NPI 1053405969 - Family Medicine - 207Q00000X

NPI Details
NPI 1053405969
Gender Male
Enumeration Date 10/03/2006
Last Updated 11/27/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
10798 W. OVERLAND RD
BOISE FAMILY MEDICINE CENTER
BOISE ID, 83709-1329, US
Phone (208) 377-3368
Fax (208) 322-4691
Business Location
10798 W. OVERLAND RD
BOISE FAMILY MEDICINE CENTER
BOISE ID, 83709-1329, US
Phone (208) 377-3368
Fax (208) 322-4691
Toxanomy
Taxonomy Code 207Q00000X
License State Idaho
License Number M8480
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According to our database, Dr. Eric S Jacobsen M.D. NPI is 1053405969, taxonomy code is 207Q00000X and license number is M8480, license state is located at Idaho. Eric S Jacobsen M.D. physically located at 10798 W. Overland Rd, Boise ID, 83709-1329. NPI Number Eric S Jacobsen M.D. has the Individual type.

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1053405969 NPI number is provided on an as is basis without warranty of any kind. 1053405969 is maintained by the National Plan & Provider Enumeration System. The contents of Eric S Jacobsen M.D. are for informational purposes only.