Individual
BRENT R JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8647 COACHLIGHT WAY, LITTLETON, CO 80125-9651
(303) 933-8270
(214) 712-2002
Mailing address
13737 NOEL RD STE 1600, ATTN: RAYS, DALLAS, TX 75240-1374
(303) 933-8270
(214) 712-2002
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
125-051980
IL
2085R0202X
Diagnostic Radiology Physician
4176
IA
2085R0202X
Diagnostic Radiology Physician
Primary
DR-50945
CO
Other
Enumeration date
05/01/2007
Last updated
06/24/2013
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