Individual
MR. JACOB A WOLFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PAC MHS
Contact information
Practice address
101 W 8TH AVE, SPOKANE, WA 99205-4805
(509) 474-3131
Mailing address
1807 N HUTCHINSON RD, SPOKANE VALLEY, WA 99212-2444
(509) 456-7414
(509) 624-0763
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
TA10005066
WA
363A00000X
Physician Assistant
Primary
PA10005066
WA
Other
Enumeration date
09/27/2006
Last updated
08/26/2020
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