Individual
MR. TORAN JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NA
Contact information
Practice address
315 S LINCOLN AVE, POCATELLO, ID 83204-4209
(286) 360-9272
Mailing address
124 JACKSON PL, POCATELLO, ID 83201-4208
(286) 360-9272
Taxonomy
Speciality
Code
Description
License number
State
246Y00000X
Health Information Specialist/Technologist
Primary
—
—
Other
Enumeration date
08/03/2012
Last updated
03/10/2014
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