Individual
ASTA BRIANNA JAKOBSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
20751 W MARKET ST, BUCKEYE, AZ 85396-7893
(623) 463-5000
Mailing address
20751 W MARKET ST, BUCKEYE, AZ 85396-7893
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
010406
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2020
Last updated
09/13/2023
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