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Individual

DR. JAMES S JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1375 E 19TH AVE, DENVER, CO 80218-1114
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
25084
CO
2085R0001X
Radiation Oncology Physician
DR0025084
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
005813
KAISER-COMMERCIAL NUMBER
05
01250844
CO
Enumeration date
04/19/2007
Last updated
06/11/2021
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