Individual
DR. JAMES H JACOBS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12368 STRATFORD DR, SUITE 300, CLIVE, IA 50325-8162
(515) 226-9810
(515) 961-2714
Mailing address
12368 STRATFORD DR, SUITE 300, CLIVE, IA 50325-8162
(515) 226-9810
(515) 961-2714
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
33546
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
668214600
—
MN
Enumeration date
01/10/2006
Last updated
06/28/2013
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