Individual
DR. DANIEL LARSEN JACOBS
Active
Individual
DR. DANIEL LARSEN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
12931506-1204
UT
207LP2900X
Pain Medicine (Anesthesiology) Physician
12931506-1204
UT
208VP0014X
Interventional Pain Medicine Physician
12931506-1204
UT
208VP0014X
Interventional Pain Medicine Physician
Primary
20A18850
CA
Other
Enumeration date
04/02/2013
Last updated
06/11/2026
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