| NPI | 1174925309 |
|---|---|
| Professional Name | JACOB WEIRICH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0004273) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 5823) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2019-05-10 |