Individual
SCOTT E JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 E 2ND ST, STE 307, RENO, NV 89502-1178
(775) 982-5000
(775) 982-3901
Mailing address
1155 MILL ST # MCM14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
7789
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11040710
CAQH
—
05
—
1780647875
—
NV
Enumeration date
04/10/2006
Last updated
01/07/2021
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