Mark Jacobs, PA

NPI #1346359866 in Modesto, California

Provider Information

NPI Number: 1346359866
Entity Type: Individual
Name: Mark Jacobs, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Aug 29, 2006
Last Updated: Apr 4, 2024

Practice Location

Address: 1541 FLORIDA AVE STE 305
City: Modesto
State: California
ZIP Code: 95350-4439
Phone: (209) 575-5833

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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