Individual
DR. JACOB PAUL VANHOUTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD, MPH, MS
Contact information
Practice address
2940 S 6TH AVE, TUCSON, AZ 85713-4705
(512) 613-1001
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
(615) 314-8069
(615) 692-0547
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
67309
AZ
208D00000X
General Practice Physician
1.069602
CT
Other
Enumeration date
04/12/2018
Last updated
01/09/2023
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