Individual provider · Type 1 NPI

Richard Allen Jacobs, MD

Specialist · Moscow, ID

NPI number 1457333668 Active

Practice location

619 S Washington St, Ste 202
Moscow, ID 83843-3090

Call (208) 882-1522 Map

Fax (208) 882-1527

Mailing address

619 S. Washington St., Ste 202
Moscow, ID 83843-0000

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XM3665 (ID)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1457333668

Richard Allen Jacobs, MD's National Provider Identifier is 1457333668, issued on Nov 15, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Moscow, ID. The record was last updated on Jun 28, 2010.