Individual
DR. JEFFREY R JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1283
(602) 933-1284
Mailing address
3200 E CAMELBACK RD, STE 250, PHOENIX, AZ 85018-2327
(602) 933-1813
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
47301
AZ
207ZH0000X
Hematology (Pathology) Physician
6099496-1205
UT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
6099496-1205
UT
Other
Enumeration date
06/10/2008
Last updated
12/20/2021
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