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Organization

JONATHAN JACOBS MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JONATHAN TODD JACOBS MD (OWNER)
(913) 451-8500
Entity
Organization

Contact information

Practice address
12140 NALL AVE, SUITE 100, OVERLAND PARK, KS 66209-2503
(913) 451-8500
(913) 451-8526
Mailing address
12140 NALL AVE, SUITE 100, OVERLAND PARK, KS 66209-2503
(913) 451-8500
(913) 451-8526

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
09/21/2007
Last updated
10/14/2011
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