Individual
SCOTT ALAN JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-3627
Mailing address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-3627
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA15994
TX
Other
Enumeration date
07/19/2022
Last updated
07/15/2025
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