Individual
DR. JACOB R VANFLEET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9927 MICKELBERRY RD NW STE 131, SILVERDALE, WA 98383-7861
(603) 375-8003
(360) 692-1392
Mailing address
9927 MICKELBERRY RD NW STE 131, SILVERDALE, WA 98383-7861
(360) 337-5800
(360) 692-1392
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD61099859
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2160253
—
WA
Enumeration date
05/15/2018
Last updated
09/16/2021
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