Organization
ROBERT JACOBS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT JACOBS MD (PRESIDENT)
(303) 320-2822
Entity
Organization
Contact information
Practice address
4545 E 9TH AVE, STE 400, DENVER, CO 80220-3901
(303) 320-2822
Mailing address
4545 E 9TH AVE, STE 400, DENVER, CO 80220-3901
(303) 320-2822
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
14578
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04012449
—
CO
01
—
112042009
RRW MEDICARE
CO
Enumeration date
12/14/2007
Last updated
09/03/2010
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