Individual
JACOB BYRON PLUID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3269 STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(928) 757-0649
Mailing address
900 RAWHIDE DR, KINGMAN, AZ 86401-7238
(435) 881-3607
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
006338
AZ
Other
Enumeration date
06/29/2011
Last updated
06/29/2015
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