Trevor Dean Jacobson, M.D.

NPI #1366677759 in Montpelier, Idaho

Provider Information

NPI Number: 1366677759
Entity Type: Individual
Name: Trevor Dean Jacobson, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: May 28, 2009
Last Updated: Dec 11, 2014

Practice Location

Address: 166 S 5TH ST
City: Montpelier
State: Idaho
ZIP Code: 83254-4959
Phone: (208) 847-1110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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