Individual
DR. JACOB TARABOLOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 MT. CARMEL WAY, PITTSBURG, KS 66762
(620) 231-6100
(620) 235-7913
Mailing address
1 MT. CARMEL WAY, PITTSBURG, KS 66762
(620) 231-6100
(620) 231-0081
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
05-32930
KS
207L00000X
Anesthesiology Physician
0532950
KS
207L00000X
Anesthesiology Physician
2002018397
MO
Other
Enumeration date
10/07/2005
Last updated
01/30/2014
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