Individual
DR. JASON WYETH KOOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
928 HARRISON ST, SUITE 200, SAN FRANCISCO, CA 94107-1009
(415) 926-5818
(844) 610-6728
Mailing address
928 HARRISON ST, SUITE 200, SAN FRANCISCO, CA 94107-1009
(415) 926-5818
(844) 610-6728
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A128794
CA
Other
Enumeration date
07/01/2009
Last updated
01/21/2016
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