JOHN JACOB

SHREVEPORT, LA
NPI1386176691
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: LA  325612)
Enumeration Date2017-03-28
Last Update Date2022-01-26
Business Address
JOHN JACOB MD
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0434
Mailing Address
JOHN JACOB MD
1501 KINGS HWY INTERNAL MEDICINE
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0434
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