Individual
DOUGLAS G. JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
87 ENCINA AVE, PALO ALTO, CA 94301-2322
(650) 853-5745
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(650) 853-5745
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10306
CA
Other
Enumeration date
02/26/2007
Last updated
05/28/2020
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