Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSSELL F JACOBY, MD
Active Sole ProprietorRUSSELL F JACOBY, MD is a Gastroenterology healthcare provider located in CAMERON PARK, California. NPI 1700852878 is currently active in the NPPES registry. Verify at CMS.
Gastroenterology · CAMERON PARK, CA
Registration Details
- NPI Number
- 1700852878
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 27, 2006 (20.281678149234 yrs)
- Last Updated
- Feb 4, 2008
- Licenses
-
32200 (WI)G86695 (CA)36071501 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3108 PONTE MORINO DRIVEPALMER PROFESSIONAL CENTRE SUITE 230CAMERON PARK, CA, 956825022Browse CA providers · Browse ZIP 95682
- Phone
- 5306722701
- Fax
- 5306729097
- Primary Specialty
-
Gastroenterology
207RG0100X
- Additional Specialty
- Gastroenterology
- Additional Specialty
- Gastroenterology
Other Gastroenterology Providers in CAMERON PARK, CA
| Name | Credential | NPI |
|---|---|---|
| MATTHEW STEPHEN COLE | M.D., M.P.H. | 1851450522 |
| DR. CHRISTOPHER DANIEL JAMES ROMBERG | MD | 1215096953 |
| MAJD MICHAEL | M.D. | 1306223177 |
| DR. WAI KAN CHIU | M.D., PH.D. | 1801258686 |
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.