Individual
DR. JACOB RYAN CARL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
911 W 5TH AVE, SPOKANE, WA 99204-2901
(509) 455-7844
(509) 623-0415
Mailing address
PO BOX 8500 LOCKBOX 7642, PHILADELPHIA, PA 19178-7642
(813) 281-8115
(813) 281-8656
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD61088190
WA
Other
Enumeration date
04/20/2014
Last updated
09/18/2020
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