Individual
ROGER E JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2121 NORTH AVE, GRAND JUNCTION, CO 81501-6428
(970) 263-2824
Mailing address
2121 NORTH AVE, GRAND JUNCTION, CO 81501-6428
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
48649
CO
Other
Enumeration date
12/04/2006
Last updated
05/12/2010
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