Individual
DR. JULIE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
14155 N 83RD AVE STE 110, PEORIA, AZ 85381-5640
(623) 888-8145
Mailing address
5310 HARVEST HILL RD STE 290, DALLAS, TX 75230-5826
(214) 420-0650
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
5024
AZ
Other
Enumeration date
05/31/2007
Last updated
10/05/2022
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