Stuart I Jacobs MD, a Professional Corporation
Stuart I Jacobs MD, a Professional Corporation is a Dermatology Physician in Stockton, California. Licensed in California. Registered with an NPI since 2014.
- Licensed in
- CA
- In the registry since
- 2014
Practice location Address checks out
5345 N El Dorado St Ste 12Stockton, CA 95207-5872
Phone: (209) 957-6662
Fax: (209) 957-0310
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Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence G30790 (CA) |
|---|
Record details
| NPI number | 1578961843 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stuart Jacobs — President Of Corporation · (209) 957-6662 |
| NPI enumerated | December 18, 2014 |
| Last updated in NPPES | March 30, 2015 |
| Mailing address | 5345 N El Dorado St, Suite 12, Stockton, CA 95207-5872 |
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