Individual
NEAL R JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3325 POCAHONTAS ROAD, BAKER CITY, OR 97814
(541) 523-8111
(541) 523-1738
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(541) 523-8111
(541) 523-1738
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO17381
OR
Other
Enumeration date
09/30/2006
Last updated
11/14/2013
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