Individual
DR. DAVID SAMUEL JACOBS
Active
Individual
DR. DAVID SAMUEL JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
01057935A
IN
2085N0700X
Neuroradiology Physician
35-061126
OH
2085N0700X
Neuroradiology Physician
35312
IA
2085N0700X
Neuroradiology Physician
39853
TN
2085R0202X
Diagnostic Radiology Physician
01057935A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
35-061126
OH
2085R0202X
Diagnostic Radiology Physician
35312
IA
2085R0202X
Diagnostic Radiology Physician
39853
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0845741
—
OH
Enumeration date
11/11/2005
Last updated
09/22/2015
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