Loran C Jacobs JR., CRNA

NPI #1144277575 in Payson, Arizona

Provider Information

NPI Number
1144277575
Entity Type
Individual
Name
Loran C Jacobs JR., CRNA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
May 30, 2006
Last Updated
Apr 27, 2017

Practice Location

Address
807 S PONDEROSA ST
City
Payson
State
Arizona
ZIP Code
85541-5542
Phone
(602) 273-6770

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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