Individual
DR. JACOB BLAINE OLDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4830 HIGHWAY 260 STE 103, LAKESIDE, AZ 85929-5851
(928) 537-8777
(928) 537-1914
Mailing address
4830 HIGHWAY 260 STE 103, LAKESIDE, AZ 85929-5851
(928) 537-8777
(928) 537-1914
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
41236
AZ
207X00000X
Orthopaedic Surgery Physician
MD2005-0490
NM
Other
Enumeration date
10/25/2005
Last updated
10/20/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us