Individual
DR. JACOB GELBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1003 WILLOW CREEK RD, PRESCOTT, AZ 86301-1641
(928) 445-2700
Mailing address
1003 WILLOW CREEK RD, PRESCOTT, AZ 86301-1641
(928) 445-2700
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
66074
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236
—
AZ
01
—
568946544
BCBS
AZ
01
—
5874
HEALTH PARTNERS
AZ
Enumeration date
08/16/2022
Last updated
08/16/2022
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