TYSON R JAKOBSON

BOISE, ID
NPI1861737371
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  Pend)
Enumeration Date2012-12-10
Last Update Date2012-12-10
Business Address
-- TYSON R JAKOBSON PA-C
600 N ROBBINS RD #401
BOISE, ID 83702-4565
Phone number: 208-383-0201
Mailing Address
-- TYSON R JAKOBSON PA-C
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222