Individual
DEVIN MICHAEL JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9005 GRANT ST, SUITE 200, THORNTON, CO 80229-4300
(303) 287-2800
(303) 287-7357
Mailing address
9005 GRANT ST, SUITE 200, THORNTON, CO 80229-4300
(303) 287-2800
(303) 287-7357
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA3331
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
94481849
—
CO
01
—
COAAA4279
MEDICARE PTAN
CO
Enumeration date
02/24/2012
Last updated
08/25/2016
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