DR. Richard Allen Jacobs, M.D.

NPI #1457333668 in Moscow, Idaho

Provider Information

NPI Number: 1457333668
Entity Type: Individual
Name: DR. Richard Allen Jacobs, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Nov 15, 2005
Last Updated: Jun 28, 2010

Practice Location

Address: 619 S WASHINGTON ST
Address 2: STE 202
City: Moscow
State: Idaho
ZIP Code: 83843-3090
Phone: (208) 882-1522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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