Individual provider · Type 1 NPI
Benjamin Clark Jacobs, MD
Diagnostic Radiology Physician · Provo, UT
NPI number
1982846119
Active
Practice location
1055 N 500 W, Ste 112
Provo, UT 84604-3305
Fax (801) 812-4699
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 9693882-1205 (UT) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1982846119
Benjamin Clark Jacobs, MD's National Provider Identifier is 1982846119, issued on Apr 2, 2009. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Provo, UT. The record was last updated on Mar 25, 2025.