Gary J Jacobson, OD

NPI #1073680815 in Fontana, California

Provider Information

NPI Number: 1073680815
Entity Type: Individual
Name: Gary J Jacobson, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Nov 29, 2006
Last Updated: Sep 23, 2008

Practice Location

Address: 9961 SIERRA AVE
City: Fontana
State: California
ZIP Code: 92335-6720
Phone: (909) 427-3910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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