Individual
BILL JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
908 SYRACUSE ST, DENVER, CO 80230-7073
(402) 415-6367
Mailing address
240 W THOMAS RD STE 301, PHOENIX, AZ 85013-4407
(602) 406-6262
(602) 406-6261
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
56864
AZ
2084N0400X
Neurology Physician
CDRH.0001875
CO
2084N0400X
Neurology Physician
ME158475
FL
2084N0400X
Neurology Physician
R74672
AZ
Other
Enumeration date
05/08/2014
Last updated
01/20/2025
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