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Jacob Somen, DO
Student in an Organized Health Care Education/Training Program in Flagstaff, Arizona
NPI 1356080238

Jacob Somen is a Student in an Organized Health Care Education/Training Program based in Flagstaff, AZ. Jacob Somen practices in Flagstaff, AZ and has the professional credentials of DO. The NPI Number for Jacob Somen is 1356080238 and holds a License No. R3888 (Arizona).

The current practice location address for Jacob Somen is 2920 N 4Th St, Flagstaff, AZ and can be reached out via phone at 928-522-9879. You can also correspond with Jacob Somen through the mailing address at PO BOX 3630, FLAGSTAFF, AZ - 86003-3630 (mailing address contact number: ).

Location: 2920 N 4Th St, Flagstaff, AZ, 86003-3630
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356080238
Provider Name
Jacob Somen
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2920 N 4Th St, Flagstaff, AZ, 86003-3630
Phone Number
928-522-9879
Fax Number
Provider Enumeration Date
05/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2920 N 4Th St
City
Flagstaff
State
Arizona
Zip
86004-1816
Phone Number
928-522-9879
Fax Number
person
Provider Business Mailing Address Details
Address
2920 N 4Th St
City
Flagstaff
State
Arizona
Zip
86004-1816
Phone Number
928-522-9879
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
R3888 (Arizona)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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