HART JACOBSEN

LANDER, WY
NPI1487980017
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Y00000X Otolaryngology
(Licence: WY  2675A)
Enumeration Date2009-11-03
Last Update Date2009-11-03
Business Address
Dr. HART JACOBSEN M.D.
30 PHEASANT RUN DR
LANDER, WY 82520-9783
Phone number: 307-332-3115
Mailing Address
Dr. HART JACOBSEN M.D.
30 PHEASANT RUN DR
LANDER, WY 82520-9783
Phone number: