person
Jacob Myles Mcleod, DPM
Foot & Ankle Surgery Podiatrist in Longview, Washington
NPI 1083909329

Jacob Myles Mcleod is a Foot & Ankle Surgery Podiatrist based in Longview, WA and is specialized in Foot & Ankle Surgery. Jacob Myles Mcleod practices in Longview, WA and has the professional credentials of DPM. The NPI Number for Jacob Myles Mcleod is 1083909329 and holds a License No. PO60466892 (Washington).

The current practice location address for Jacob Myles Mcleod is 625 9Th Ave Ste 210, Longview, WA and can be reached out via phone at 360-501-3400 and via fax at 360-423-5682. You can also correspond with Jacob Myles Mcleod through the mailing address at 625 9TH AVE STE 210, LONGVIEW, WA - 98632-2465 (mailing address contact number: 360-501-3400).

Location: 625 9Th Ave Ste 210, Longview, WA, 98632-2465
person
Provider Profile Details
NPI Number
1083909329
Provider Name
Jacob Myles Mcleod
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
625 9Th Ave Ste 210, Longview, WA, 98632-2465
Phone Number
360-501-3400
Fax Number
360-423-5682
Provider Enumeration Date
06/15/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0304956 01 WA WASHINGTON L&I
1083909329 05 OR
1083909329 05 WA
institution
Provider Business Practice Location Address Details
Address
625 9Th Ave Ste 210
City
State
Zip
98632-2465
Phone Number
360-501-3400
Fax Number
360-423-5682
person
Provider Business Mailing Address Details
Address
625 9Th Ave Ste 210
City
State
Zip
98632-2465
Phone Number
360-501-3400
Fax Number
360-423-5682
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
PO60466892 (Washington)
Definition
Definition to come...
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