Organization
STUART I JACOBS MD, A PROFESSIONAL CORPORATION
Active
Organization
STUART I JACOBS MD, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STUART I JACOBS MD (PRESIDENT OF CORPORATION)
(209) 957-6662
Entity
Organization
Contact information
Practice address
5345 N EL DORADO ST, SUITE 12, STOCKTON, CA 95207-5872
(209) 957-6662
(209) 957-0310
Mailing address
5345 N EL DORADO ST, SUITE 12, STOCKTON, CA 95207-5872
(209) 957-6662
(209) 957-0310
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G30790
CA
Other
Enumeration date
12/18/2014
Last updated
03/30/2015
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