Individual
JACOB AARON ALLGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4881 SUGAR MAPLE DR, 88MDG/OFFICE SYMBOL, WRIGHT PATTERSON AFB, OH 45433-5546
(937) 257-9926
Mailing address
977 ARBORVIEW CT, FAIRBORN, OH 45324-6307
(937) 212-4389
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02003048A
IN
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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