Loran C Jacobs Jr Pllc

NPI 1255504791 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1255504791
Enumeration Date 04/04/2008
Last Updated 04/04/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name LORAN C. LORAN
Position SOLE MEMBER
Phone (602) 273-6770
Fax (602) 889-0489
Practice Location
807 S PONDEROSA ST
PAYSON AZ, 85541-5542, US
Phone (602) 273-6770
Fax (602) 889-0489
Business Location
PO BOX 29211
PHOENIX AZ, 85038-9211, US
Phone (602) 273-6770
Fax (602) 889-0489
Toxanomy
Taxonomy Code 367500000X
License State Arizona
License Number RN151239
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According to our database, Loran C Jacobs Jr Pllc NPI is 1255504791, taxonomy code is 367500000X and license number is RN151239, license state is located at Arizona. Loran C Jacobs Jr Pllc physically located at 807 S Ponderosa St, Payson AZ, 85541-5542. NPI Number 1033115704 has the healthcare provider type.

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1255504791 NPI number is provided on an as is basis without warranty of any kind. 1255504791 is maintained by the National Plan & Provider Enumeration System. The contents of Loran C Jacobs Jr Pllc are for informational purposes only.