Individual
DR. MICHAEL B JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
3017 W CHARLESTON BLVD, SUITE 60, LAS VEGAS, NV 89102-1927
(702) 778-5100
(702) 778-5101
Mailing address
3017 WEST CHARLESTON BLVD, SUITE 60, LAS VEGAS, NV 89102-1927
(702) 778-5100
(702) 778-5101
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
243291
NY
207R00000X
Internal Medicine Physician
Primary
9037
NV
Other
Enumeration date
10/13/2005
Last updated
08/23/2011
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