Alice M Jacobson, PA-C

NPI #1952949240 in Cheyenne, Wyoming

Provider Information

NPI Number
1952949240
Entity Type
Individual
Name
Alice M Jacobson, PA-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Dec 17, 2019
Last Updated
Dec 17, 2019

Practice Location

Address
214 E 23RD ST
State
Wyoming
ZIP Code
82001-3748
Phone
(307) 634-2273

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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