Individual
DR. JACOB EGBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
380 W 12300 S, DRAPER, UT 84020-6518
(801) 707-6003
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2007019024
MO
208100000X
Physical Medicine & Rehabilitation Physician
Primary
7897793-1204
UT
208100000X
Physical Medicine & Rehabilitation Physician
OP60347769
WA
Other
Enumeration date
05/16/2007
Last updated
06/06/2023
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