DR. Jacob Mathew JR., D.O.

NPI #1992068894 in Fort Carson, Colorado

Provider Information

NPI Number
1992068894
Entity Type
Individual
Name
DR. Jacob Mathew JR., D.O.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Internal Medicine
Credential
D.O.
Enumeration Date
Jun 17, 2012
Last Updated
Sep 2, 2015

Practice Location

Address
1650 COCHRANE CIR
Address 2
EVANS ARMY COMMUNITY HOSPITAL
ZIP Code
80913-4613
Phone
(719) 526-6073

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Internal Medicine

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