Pothen Jacob, MD

NPI #1376640474 in E St Louis, Illinois

Provider Information

NPI Number
1376640474
Entity Type
Individual
Name
Pothen Jacob, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pediatrics
Credential
MD
Enumeration Date
Sep 20, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
4601 STATE ST
Address 2
SUITE #210
ZIP Code
62205-1359
Phone
(618) 874-3700

Specialties & Taxonomy Codes

Specialty
Pediatrics

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