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Organization

COSM LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM CHARLES JACOBSON MD (PRESIDENT)
(515) 440-2676
Entity
Organization

Contact information

Practice address
12499 UNIVERSITY AVE STE 210, CLIVE, IA 50325-8288
(515) 440-2676
(515) 440-2677
Mailing address
12499 UNIVERSITY AVE STE 210, CLIVE, IA 50325-8288
(515) 440-2676
(515) 440-2677

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
207XS0106X
Orthopaedic Hand Surgery Physician
207XS0117X
Orthopaedic Surgery of the Spine Physician
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
208100000X
Physical Medicine & Rehabilitation Physician
2086S0105X
Surgery of the Hand (Surgery) Physician
213ES0103X
Foot & Ankle Surgery Podiatrist

Other

Enumeration date
10/10/2023
Last updated
10/10/2023
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