Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RICHARD ALLEN JACOBS, M.D.
Active Sole ProprietorSpecialist · MOSCOW, ID
Registration Details
- NPI Number
- 1457333668
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 15, 2005 (20.454517054764 yrs)
- Last Updated
- Jun 28, 2010
- License
-
M3665 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
619 S WASHINGTON STSTE 202MOSCOW, ID, 838433090Browse ID providers · Browse ZIP 83843
- Phone
- 2088821522
- Fax
- 2088821527
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in MOSCOW, ID
| Name | Credential | NPI |
|---|---|---|
| DR. CHRISTINA LEIGH CERVIERI | MD | 1164427423 |
| MRS. JANIE L JONES | MSPT | 1770818437 |
| ANNETTA WILSON | P.T. | 1891025482 |
| DANIELLE MARIE WATSON | LMP | 1346689783 |
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.