Individual
DR. JACOB VANORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-5029
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-5029
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A172954
CA
208D00000X
General Practice Physician
0101266158
VA
Other
Enumeration date
03/31/2017
Last updated
03/30/2023
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