Individual provider · Type 1 NPI
Jacob Smith, DO
Military Health Care Provider · Virginia Beach, VA
NPI number
1831787431
Active
Practice location
1300 Helicopter Rd
Virginia Beach, VA 23459-8913
Mailing address
Naval Medical Center San Diego 34800 Bob Wilson Dr
San Diego, CA 92134-5000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider | 171000000X | None listed |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Military Health Care Provider Primary | 171000000X | 0102208723 (VA) |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
2 other providers at this address
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About NPI 1831787431
Jacob Smith, DO's National Provider Identifier is 1831787431, issued on Jan 8, 2021. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Virginia Beach, VA. The record was last updated on Dec 2, 2024.