Individual
STUART I JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5345 N EL DORADO ST, STE 12, STOCKTON, CA 95207-5872
(209) 957-6662
(209) 957-0310
Mailing address
5345 N EL DORADO ST, STE 12, STOCKTON, CA 95207-5872
(209) 957-6662
(209) 957-0310
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
00G30790
CA
Other
Enumeration date
03/31/2006
Last updated
03/07/2023
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