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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEBORAH LYNN JACOBSON, MD

Active

DEBORAH LYNN JACOBSON, MD is a Pediatric Urology healthcare provider located in SALT LAKE CITY, Utah. NPI 1205126257 is currently active in the NPPES registry. Verify at CMS.

Pediatric Urology · SALT LAKE CITY, UT

Registration Details

NPI Number
1205126257
Provider Type
Individual
Gender
Female
NPI Issued
Apr 12, 2011 (15.308357369147 yrs)
Last Updated
May 3, 2022
Licenses
036.140152 (IL)
M-14378 (ID)
10687955-8905 (UT)

Practice Information

Address
100 N MARIO CAPECCHI DR STE 3550
SALT LAKE CITY, UT, 841131103
Browse UT providers · Browse ZIP 84113
Phone
8016625555
Fax
8016625547
Primary Specialty
Pediatric Urology
2088P0231X
Additional Specialty
Pediatric Urology
Additional Specialty
Pediatric Urology

Other Pediatric Urology Providers in SALT LAKE CITY, UT

Name Credential NPI
DR. BRENT WALTER SNOW M.D., MBA 1275544454
DR. ROBERT A STEPHENSON M.D. 1932285426
ANTHONY JOHN SCHAEFFER M.D. 1700939402
BRIAN PATRICK WISEMAN MD 1497319537
DR. RANO NAIM GABRA MATTA MD 1346868510
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.