Individual
DAVID JONATHAN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 WESTHAMPTON STA, RICHMOND, VA 23226-3330
(804) 287-4200
(804) 287-4256
Mailing address
8002 DISCOVERY DR RM 410, RICHMOND, VA 23229-8601
(804) 287-4213
(804) 282-4048
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101268576
VA
207W00000X
Ophthalmology Physician
11985
ND
207WX0107X
Retina Specialist (Ophthalmology) Physician
11985
ND
Other
Enumeration date
05/15/2006
Last updated
07/01/2020
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