Pothen Jacob, MD
Pothen Jacob, MD is a Pediatrics Physician in E St Louis, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
4601 State St Ste #210E St Louis, IL 62205-1359
Phone: (618) 874-3700
Fax: (618) 874-5031
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X · Licence 3648725 (IL) |
|---|
Record details
| NPI number | 1376640474 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | September 20, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | Po Box 2228, 4601 State St Suite #210, E St Louis, IL 62205-1359 |