JACOB M SHORT

HUNTINGTON, WV
NPI1447447503
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WV  1310)
Enumeration Date2007-10-02
Last Update Date2022-03-31
Business Address
Mr. JACOB M SHORT PAC
5170 US ROUTE 60
HUNTINGTON, WV 25705-2004
Phone number: 304-528-4600
Mailing Address
Mr. JACOB M SHORT PAC
5170 US RT 60 EAST
HUNTINGTON, WV 25705
Phone number: 304-528-4600