Individual
JACOB SAMUEL FORBES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3580 W 9000 S, WEST JORDAN, UT 84088-8812
(801) 561-8888
Mailing address
4 E CLARK BASS BLVD STE 301, MCALESTER, OK 74501-4269
(918) 421-6081
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1329004-1204
UT
207Q00000X
Family Medicine Physician
7293
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2020
Last updated
09/19/2023
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