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Individual

DR. JACOB EGBERT

Active
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Individual

DR. JACOB EGBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2007019024
MO
208100000X
Physical Medicine & Rehabilitation Physician
Primary
7897793-1204
UT
208100000X
Physical Medicine & Rehabilitation Physician
OP60347769
WA

Other

Enumeration date
05/16/2007
Last updated
06/06/2023
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