Individual
JACOB ROBERT OBERHEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
257 COTTONWOOD ST, DELTA, CO 81416-4400
(970) 399-4200
Mailing address
PO BOX 10100, DELTA, CO 81416-0008
(970) 874-2470
(970) 874-2475
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3129
CO
363A00000X
Physician Assistant
Primary
PA.0003129
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24126276
—
CO
Enumeration date
12/06/2010
Last updated
06/05/2026
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