Individual
MR. CORBIN DANIEL JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1440 E MULLAN AVE, POST FALLS, ID 83854-9064
(509) 228-1000
(509) 252-9300
Mailing address
1204 N VERCLER RD, SPOKANE VALLEY, WA 99216-1020
(509) 228-1000
(509) 252-9300
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
15172
ID
2085R0001X
Radiation Oncology Physician
61047154
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2015
Last updated
07/01/2020
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