Individual
MARICELA JACOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 E BOULDER ST STE 1183, COLORADO SPRINGS, CO 80909-5533
(719) 365-6999
(719) 365-2837
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-4034
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
60523
TN
207L00000X
Anesthesiology Physician
Primary
DR.0072171
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164786679
NPI
—
Enumeration date
06/28/2012
Last updated
01/12/2024
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