Individual
JACOB SCHAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(208) 381-6930
(208) 381-6931
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
6671965
ID
Other
Enumeration date
06/06/2019
Last updated
09/09/2025
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