Individual
DR. JASON SANFORD JACOB
Active
Individual
DR. JASON SANFORD JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
MD00047516
WA
2085R0202X
Diagnostic Radiology Physician
Primary
MD00047516
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0230052
LABOR & INDUSTRY-TRA KING COUNTY
WA
01
—
0230054
LABOR & INDUSTRY-UNION AVE
WA
01
—
0345133
LABOR & INDUSTRY-TRA
WA
05
—
1054847
—
WA
Enumeration date
10/27/2006
Last updated
08/30/2024
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