Organization
WILLIAM C. JACOBSON MD PC
Active
Other names
William C. Jacobson MD PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM C JACOBSON MD (PRESIDENT)
(515) 440-2676
Entity
Organization
Contact information
Practice address
1601 NW 114TH ST, SUITE 142, DES MOINES, IA 50325-7007
(515) 440-2676
(515) 440-2676
Mailing address
1601 NW 114TH ST, SUITE 142, DES MOINES, IA 50325-7007
(515) 440-2676
(515) 440-2676
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
33389
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CR0838
RAILROAD MEDICARE
IA
Enumeration date
05/24/2007
Last updated
05/06/2009
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