JACOB BASILIUS

ORANGE, CA
NPI1043741911
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: UT  10955731-1205)
Enumeration Date2017-03-23
Last Update Date2026-04-17
Business Address
Dr. JACOB BASILIUS MD
101 THE CITY DR S
ORANGE, CA 92868-3201
Phone number: 714-880-7812
Mailing Address
Dr. JACOB BASILIUS MD
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-357-3242