Charles D Jacobson is a Internal Medicine Physician based in Puyallup, WA. Charles D Jacobson practices in Puyallup, WA and has the professional credentials of MD. The NPI Number for Charles D Jacobson is 1124092754 and holds a License No. MD00013535 (Washington).
The current practice location address for Charles D Jacobson is 1701 3Rd St Se, Puyallup, WA and can be reached out via phone at 253-967-5767 and via fax at 253-697-5682.
Identifier | Type | State | Issuer |
---|---|---|---|
111661110 | 01 | WA | MEDICARE OTHER-INDIVIDUAL |
1414200 | 05 | WA | |
CO3401 | 01 | WA | MEDICARE OTHER-GROUP |
193400000X | 01 | WA | TAXONOMY |
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