Individual
ROBERT JACOBSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1822 E 1950 N, LAYTON, UT 84040-2214
(801) 544-1830
Mailing address
1822 E 1950 N, LAYTON, UT 84040-2214
(801) 544-1830
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
151294-1205
UT
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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