Individual
DR. KEITH LAURENCE JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
8101 E LOWRY BLVD, SUITE 230, DENVER, CO 80230-7196
(303) 344-9090
(720) 859-4017
Mailing address
8101 E LOWRY BLVD, SUITE 230, DENVER, CO 80230-7196
(303) 344-9090
(720) 859-4017
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
699
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82687579
—
CO
Enumeration date
11/16/2005
Last updated
07/23/2015
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