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Dr. Richard Allen Jacobs, MD
Specialist in Moscow, Idaho
NPI 1457333668

Richard Allen Jacobs is a Specialist based in Moscow, ID. Richard Allen Jacobs practices in Moscow, ID and has the professional credentials of MD. The NPI Number for Richard Allen Jacobs is 1457333668 and holds a License No. M3665 (Idaho).

The current practice location address for Richard Allen Jacobs is 619 S Washington St, Moscow, ID and can be reached out via phone at 208-882-1522 and via fax at 208-882-1527.

Location: 619 S Washington St, Moscow, ID, 83843-0000
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Provider Profile Details
NPI Number
1457333668
Provider Name
Richard Allen Jacobs
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
619 S Washington St, Moscow, ID, 83843-0000
Phone Number
208-882-1522
Fax Number
208-882-1527
Provider Enumeration Date
11/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
362964260 01 ID TAX ID
institution
Provider Business Practice Location Address Details
Address
619 S Washington St
City
State
Zip
83843-3090
Phone Number
208-882-1522
Fax Number
208-882-1527
person
Provider Business Mailing Address Details
Address
619 S Washington St
City
State
Zip
83843-3090
Phone Number
208-882-1522
Fax Number
208-882-1527
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
M3665 (Idaho)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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