Individual
JACOB SCOTT RAMSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2850 OLYMPUS DR, POCATELLO, ID 83201-2271
(208) 239-2273
Mailing address
777 HOSPITAL WAY, POCATELLO, ID 83201-5175
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9999
AZ
363A00000X
Physician Assistant
Primary
—
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/12/2022
Last updated
02/11/2026
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