Individual
DR. JACOB EBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 S KNIK GOOSE BAY RD, WASILLA, AK 99654-8083
(907) 729-3300
(907) 729-6351
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
(907) 729-6351
(907) 729-8607
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD463351
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/29/2015
Last updated
09/20/2022
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