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Individual

DR. DON M JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1900 SULLIVAN AVE, PATHOLOGY DEPT, DALY CITY, CA 94015
(650) 991-6587
Mailing address
PO BOX 29471, SAINT LOUIS, MO 63126-7471
(888) 843-8475
(844) 410-3798

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
C40956
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00C409560
CA
Enumeration date
10/02/2006
Last updated
08/12/2019
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