Individual
ROBERT R. JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
700 W GROVE ST, EL DORADO, AR 71730-4416
(870) 863-2200
(870) 864-0202
Mailing address
778 SCOGIN DR, MONTICELLO, AR 71655-5729
(870) 367-2411
(870) 460-3562
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E-2641
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5L634
BCBS
AR
Enumeration date
12/15/2005
Last updated
07/08/2007
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