Individual
DR. PAUL BRIAN JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9800 BROADWAY EXTENSION, SUITE 201, OKLAHOMA CITY, OK 73114
(405) 424-5426
(405) 424-5431
Mailing address
9800 BROADWAY EXTENSION, SUITE 201, OKLAHOMA CITY, OK 73114
(405) 424-5426
(405) 424-5431
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
390200000X
OH
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
5494
OK
2251X0800X
Orthopedic Physical Therapist
OH-9638
OH
Other
Enumeration date
04/12/2008
Last updated
02/03/2016
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