Individual
DR. STUART ANDREW JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACC
Contact information
Practice address
400 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664-3200
(360) 514-4724
(360) 514-6530
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
H3897
TX
207RC0000X
Cardiovascular Disease Physician
Primary
MD61549359
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132470903
—
TX
Enumeration date
02/27/2007
Last updated
05/22/2024
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