Organization
JACOB EGBERT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB R EGBERT DO (OWNER/ DO)
(435) 938-8657
Entity
Organization
Contact information
Practice address
8074 S 1300 E, SANDY, UT 84094-0743
(801) 561-3400
Mailing address
274 N MAIN ST, LOGAN, UT 84321-3915
(435) 753-1600
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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