Individual
MR. STEVE ALTON JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
510 EAST STONER AVE., SHREVEPORT, LA 71101-4295
(318) 221-8411
(318) 429-5710
Mailing address
5523 LAKE SIDE DR, BOSSIER CITY, LA 71111-5548
(318) 746-4254
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN035529
LA
Other
Enumeration date
09/05/2006
Last updated
07/08/2007
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