Individual
ERIC SCOTT JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3902 13TH AVE S, FARGO, ND 58103-3357
(701) 364-6600
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16497
ND
207Q00000X
Family Medicine Physician
RL15104
ND
208M00000X
Hospitalist Physician
16497
ND
Other
Enumeration date
06/06/2018
Last updated
07/30/2021
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