Individual
BRIAN COATE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 116TH AVE NE, BELLEVUE, WA 98004
(425) 454-1700
(425) 454-0600
Mailing address
PO BOX 727, BELLEVUE, WA 98009
(425) 454-1700
(425) 454-0600
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
22661
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1117514
—
WA
Enumeration date
09/07/2006
Last updated
03/18/2010
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