RICHARD ALLEN JACOBS

MOSCOW, ID
NPI1457333668
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: ID  M3665)
Enumeration Date2005-11-15
Last Update Date2010-06-28
Business Address
DR. RICHARD ALLEN JACOBS M.D.
619 S WASHINGTON ST STE 202
MOSCOW, ID 83843-3090
Phone number: 208-882-1522
Mailing Address
DR. RICHARD ALLEN JACOBS M.D.
619 S. WASHINGTON ST. STE 202
MOSCOW, ID 83843-0000
Phone number: 208-882-1522
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