TREVOR DEAN JACOBSON

MONTPELIER, ID
NPI1366677759
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  M-12665)
Enumeration Date2009-05-28
Last Update Date2014-12-11
Business Address
TREVOR DEAN JACOBSON M.D.
166 S 5TH ST
MONTPELIER, ID 83254-4959
Phone number: 208-847-1110
Mailing Address
TREVOR DEAN JACOBSON M.D.
PO BOX 69
MONTPELIER, ID 83254-0069
Phone number: 208-847-1110
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