Individual
DR. ROBERT CHARLES JACOBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D,
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
00049044
WA
208600000X
Surgery Physician
A55944
CA
2086S0102X
Surgical Critical Care Physician
000449044
WA
2086S0102X
Surgical Critical Care Physician
A55944
CA
2086S0127X
Trauma Surgery Physician
00049044
WA
2086S0127X
Trauma Surgery Physician
Primary
A55944
CA
Other
Enumeration date
08/02/2005
Last updated
02/11/2022
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