Henry J.r. Jacobs CSA

NPI 1316995038 - Physician Assistant - 363AS0400X

NPI Details
NPI 1316995038
Gender Male
Enumeration Date 05/05/2006
Last Updated 05/06/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
3913 MORTON DR
RICHMOND VA, 23223-1287, US
Phone (804) 239-8208
Fax
Business Location
3913 MORTON DR
RICHMOND VA, 23223-1287, US
Phone (804) 239-8208
Fax
Toxanomy
Taxonomy Code 363AS0400X
License State Virginia
License Number 3123
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According to our database, Mr. Henry J.r. Jacobs CSA NPI is 1316995038, taxonomy code is 363AS0400X and license number is 3123, license state is located at Virginia. Henry J.r. Jacobs CSA physically located at 3913 Morton Dr, Richmond VA, 23223-1287. NPI Number Henry J.r. Jacobs CSA has the Individual type.

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1316995038 NPI number is provided on an as is basis without warranty of any kind. 1316995038 is maintained by the National Plan & Provider Enumeration System. The contents of Henry J.r. Jacobs CSA are for informational purposes only.