Organization
EUGENE E JACOB MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE E JACOB M.D. (OWNER)
(502) 222-0598
Entity
Organization
Contact information
Practice address
1023 NEW MOODY LN, STE 102, LAGRANGE, KY 40031-9177
(502) 222-0598
(502) 222-7446
Mailing address
1023 NEW MOODY LN, STE 102, LAGRANGE, KY 40031-9177
(502) 222-0598
(502) 222-7446
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
23227
KY
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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