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Individual

DR. ALAN K JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 ELIZABETH PL, SUITE 210 WEST MEDICAL PLAZA, DAYTON, OH 45417-3445
(937) 495-0000
(937) 495-0140
Mailing address
1 ELIZABETH PL, SUITE 210 WEST MEDICAL PLAZA, DAYTON, OH 45417-3445
(937) 495-0000
(937) 495-0140

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35046148
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0499910
OH
Enumeration date
09/06/2006
Last updated
05/06/2014
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