Individual
DR. DEREK P. JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13613 W CAMINO DEL SOL STE 2, SUN CITY WEST, AZ 85375-4480
(623) 584-2100
(623) 584-0023
Mailing address
14269 N 87TH ST STE 203, SCOTTSDALE, AZ 85260-3695
(480) 483-8882
(480) 419-5401
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1933
AZ
Other
Enumeration date
04/29/2013
Last updated
03/01/2021
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