Individual
DR. TODD LONNY JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
ONE PERKINS SQUARE, CHRISTINE MAYES - PEDIATRIC RESIDENCY COORDINATOR, AKRON, OH 44308-1063
(330) 543-8178
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 680-3030
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9358537-1204
UT
Other
Enumeration date
05/29/2012
Last updated
01/06/2016
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