Individual
JACOB WILLIAM THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
300 TUSKEGEE BLVD, DOVER AIR FORCE BASE, DE 19902-5003
(302) 677-6527
(026) 776-5273
Mailing address
300 TUSKEGEE BLVD, DOVER AIR FORCE BASE, DE 19902-5003
(026) 776-5273
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7286321
WI
390200000X
Student in an Organized Health Care Education/Training Program
125071136
IL
Other
Enumeration date
06/12/2017
Last updated
01/10/2025
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