Individual
DR. JOSEPH RICHARD JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1490 E FOREMASTER DR, STE 350, SAINT GEORGE, UT 84790-4488
(435) 628-3337
(435) 628-3375
Mailing address
1490 E FOREMASTER DR, STE 350, SAINT GEORGE, UT 84790-4488
(435) 628-3337
(435) 628-3375
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
8138585-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
UT
Other
Enumeration date
04/21/2010
Last updated
04/27/2015
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