JACOB DELAROSA

POCATELLO, ID
NPI1083759880
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: ID  M9019)
Enumeration Date2007-02-20
Last Update Date2014-03-19
Business Address
-- JACOB DELAROSA md
651 MEMORIAL DR
POCATELLO, ID 83201-4071
Phone number: 208-239-1000
Mailing Address
-- JACOB DELAROSA md
777 HOSPITAL WAY STE 215
POCATELLO, ID 83201-5162
Phone number: 208-239-2580
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