CHARLES A JACOBSON MD

MOSCOW, ID
NPI1144376617
Entity TypeOrganization
Authorized ContactCHARLES A JACOBSON
Owner
208-883-2828
Organization Subpart ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: ID  M6567)
Enumeration Date2007-01-26
Last Update Date2014-08-19
Business Address
CHARLES A JACOBSON MD
2500 W A ST SUITE 201
MOSCOW, ID 83843-6000
Phone number: 208-883-2828
Mailing Address
CHARLES A JACOBSON MD
2500 W A ST SUITE 201
MOSCOW, ID 83843-6000
Phone number: 208-883-2828