Individual
ORVILLE J. JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5225 NE 96TH ST, ALTOONA, IA 50009-9493
(515) 240-5042
Mailing address
5225 NE 96TH ST, ALTOONA, IA 50009-9493
(515) 240-5042
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01548
IA
Other
Enumeration date
12/23/2005
Last updated
08/09/2007
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