Individual
VALERIE ANNE JACOBS
Active
Individual
VALERIE ANNE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25227
CO
208000000X
Pediatrics Physician
7621A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01252279
—
CO
01
—
020087
KAISER COMMERCIAL NUMBER
CO
Enumeration date
06/25/2007
Last updated
11/16/2010
Update your record
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