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Individual

DR. ROBERT CHARLES JACOBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D,

Contact information

Practice address
1 QUALITY DR, VACAVILLE, CA 95688-9494
(707) 624-2810
Mailing address
1 QUALITY DR, VACAVILLE, CA 95688-9494
(707) 624-2810

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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