Individual
DR. JACOB JONAS CARMICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34800 BOB WILSON DR, C/O PULMONARY MEDICINE, SAN DIEGO, CA 92134-1098
(619) 532-5990
(619) 532-7625
Mailing address
34800 BOB WILSON DR, C/O PULMONARY MEDICINE, SAN DIEGO, CA 92134-1098
(619) 532-5990
(619) 532-7625
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0431507
KS
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
0431507
KS
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD2023-1334
NM
207RP1001X
Pulmonary Disease Physician
0431507
KS
Other
Enumeration date
02/06/2007
Last updated
11/12/2024
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