Individual
DR. JACOB SCOTT PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1233 N NORTHWOOD CENTER CT STE 101, COEUR D ALENE, ID 83814-6190
(208) 457-4211
(208) 773-1473
Mailing address
1233 N NORTHWOOD CENTER CT STE 101, COEUR D ALENE, ID 83814-6190
(208) 457-4211
(208) 773-1473
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
199617
OR
207X00000X
Orthopaedic Surgery Physician
2581204
ID
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
2581204
ID
207XS0117X
Orthopaedic Surgery of the Spine Physician
OP61668710
WA
Other
Enumeration date
04/14/2020
Last updated
07/03/2026
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