JACK JACOB

ANCHORAGE, AK
NPI1437111093
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: AK  1643)
Enumeration Date2006-04-06
Last Update Date2007-07-08
Business Address
Dr. JACK JACOB M.D.
3340 PROVIDENCE DR SUITE 366
ANCHORAGE, AK 99508-4616
Phone number: 907-563-3026
Mailing Address
Dr. JACK JACOB M.D.
3340 PROVIDENCE DR SUITE 366
ANCHORAGE, AK 99508-4616
Phone number: 907-563-3026
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