Individual
BRADLY P JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 MURRAY CIRCLE, SAUSALITO, CA 94965
(415) 339-2692
(415) 339-2691
Mailing address
601 MURRAY CIRCLE, SAUSALITO, CA 94965
(415) 339-2692
(415) 339-2691
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A60433
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A604330
—
CA
Enumeration date
04/26/2006
Last updated
04/27/2015
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