Organization
WILLIAM C. JACOBSON MD PC
Active
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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