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Joseph Jacob
Gynecologic Oncology Physician in Cape Girardeau, Missouri
NPI 1720030349

Joseph Jacob is a Gynecologic Oncology Physician based in Kansas City, MO and is specialized in Gynecologic Oncology. Joseph Jacob practices in Cape Girardeau, MO. The NPI Number for Joseph Jacob is 1720030349 and holds a License No. 36615 (Missouri).

The current practice location address for Joseph Jacob is 150 S Mount Auburn Rd, Cape Girardeau, MO and can be reached out via phone at 573-331-5515 and via fax at 573-331-5516.

Location: 150 S Mount Auburn Rd, Cape Girardeau, MO, 64184-3225
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720030349
Provider Name
Joseph Jacob
Credential
Provider Entity Type
Individual
Gender
Male
Address
150 S Mount Auburn Rd, Cape Girardeau, MO, 64184-3225
Phone Number
573-331-5515
Fax Number
573-331-5516
Provider Enumeration Date
05/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
203568324 05 MO
160306001 05 AR
P00262024 01 RAILROAD MEDICARE
188833 01 HEALTHLINK
444830 01 MO ANTHEM BCBS
institution
Provider Business Practice Location Address Details
Address
150 S Mount Auburn Rd
City
Cape Girardeau
State
Missouri
Zip
63703-4910
Phone Number
573-331-5515
Fax Number
573-331-5516
person
Provider Business Mailing Address Details
Address
150 S Mount Auburn Rd
City
Cape Girardeau
State
Missouri
Zip
63703-4910
Phone Number
573-331-5515
Fax Number
573-331-5516
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecologic Oncology
Taxonomy
207VX0201X
License No.
36615 (Missouri)
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
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