Michael B Jacobs M.D., PH.D.

NPI 1053300913 - Internal Medicine - 207R00000X

NPI Details
NPI 1053300913
Gender Male
Enumeration Date 10/13/2005
Last Updated 08/23/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
3017 W CHARLESTON BLVD
SUITE 60
LAS VEGAS NV, 89102-1927, US
Phone (702) 778-5100
Fax (702) 778-5101
Business Location
3017 WEST CHARLESTON BLVD
SUITE 60
LAS VEGAS NV, 89102-1927, US
Phone (702) 778-5100
Fax (702) 778-5101
Toxanomy
Taxonomy Code 207R00000X
License State New York
License Number 243291
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According to our database, Dr. Michael B Jacobs M.D., PH.D. NPI is 1053300913, taxonomy code is 207R00000X and license number is 243291, license state is located at New York. Michael B Jacobs M.D., PH.D. physically located at 3017 W Charleston Blvd, Las Vegas NV, 89102-1927. NPI Number Michael B Jacobs M.D., PH.D. has the Individual type.

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1053300913 NPI number is provided on an as is basis without warranty of any kind. 1053300913 is maintained by the National Plan & Provider Enumeration System. The contents of Michael B Jacobs M.D., PH.D. are for informational purposes only.