Individual
DR. ALLEN M JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6400 CLAYTON RD, STE 402, SAINT LOUIS, MO 63117-1850
(314) 367-6545
(314) 367-7038
Mailing address
6400 CLAYTON RD, STE 402, SAINT LOUIS, MO 63117-1850
(314) 367-6545
(314) 367-7038
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000436
MO
Other
Enumeration date
09/20/2006
Last updated
01/17/2013
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