DR. Hart Jacobsen, M.D.

NPI #1487980017 in Lander, Wyoming

Provider Information

NPI Number: 1487980017
Entity Type: Individual
Name: DR. Hart Jacobsen, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Otolaryngology
Credential: M.D.
Enumeration Date: Nov 3, 2009
Last Updated: Nov 3, 2009

Practice Location

Address: 30 PHEASANT RUN DR
City: Lander
State: Wyoming
ZIP Code: 82520-9783
Phone: (307) 332-3115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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