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Wayne R Jacobs JR.
Medical Physician Assistant in Williamsport, Pennsylvania
NPI 1003455163

Wayne R Jacobs JR. is a Medical Physician Assistant based in Allenwood, PA and is specialized in Medical. Wayne R Jacobs JR. practices in Williamsport, PA. The NPI Number for Wayne R Jacobs JR. is 1003455163 and holds a License No. MA061359 (Pennsylvania).

The current practice location address for Wayne R Jacobs JR. is 435 River Ave, Williamsport, PA and can be reached out via phone at 866-995-3937.

Location: 435 River Ave, Williamsport, PA, 17810-9260
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003455163
Provider Name
Wayne R Jacobs JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
435 River Ave, Williamsport, PA, 17810-9260
Phone Number
866-995-3937
Fax Number
Provider Enumeration Date
01/06/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
103739681 05 PA
institution
Provider Business Practice Location Address Details
Address
435 River Ave
City
Williamsport
State
Pennsylvania
Zip
17701-3722
Phone Number
866-995-3937
Fax Number
person
Provider Business Mailing Address Details
Address
435 River Ave
City
Williamsport
State
Pennsylvania
Zip
17701-3722
Phone Number
866-995-3937
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
MA061359 (Pennsylvania)
Definition
Definition to come...
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