Charles A Jacobson, M.D.

NPI #1760492656 in Moscow, Idaho

Provider Information

NPI Number: 1760492656
Entity Type: Individual
Name: Charles A Jacobson, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Orthopaedic Surgery
Credential: M.D.
Enumeration Date: Aug 9, 2006
Last Updated: Aug 4, 2015

Practice Location

Address: 2500 W A ST
Address 2: SUITE 201
City: Moscow
State: Idaho
ZIP Code: 83843-5065
Phone: (208) 883-2828

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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Organizations

Provider Name	Specialty	City
Charles a Jacobson MD	Orthopaedic Surgery	Moscow	AI Deep Dive
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