Individual
JACOB D KARMAZIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
145 MEMORIAL DR, BROKEN BOW, NE 68822-1378
(308) 872-2486
(308) 872-2027
Mailing address
PO BOX 690, BROKEN BOW, NE 68822-0690
(308) 872-2486
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1799
NE
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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