Individual
BRADLEY S JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 E APPLE ST STE 5254A, DAYTON, OH 45409-2939
(937) 208-4200
(937) 208-4205
Mailing address
30 E APPLE ST STE 5254A, DAYTON, OH 45409-2939
(937) 208-4200
(937) 208-4205
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35-086454
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2633823
—
OH
Enumeration date
04/21/2006
Last updated
04/20/2015
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