Doctor Name: | DR. JAMES H JACOBS |
NPI Number: | 1003895962 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 33546 |
Business Practice Address: | 12368 Stratford Dr Suite 300 Clive, IA - 503258162 |
Business Phone Number: | 5152269810 |
Business Fax Number: | 5159612714 |
Mailing Address: | 12368 Stratford Dr, Suite 300 CLIVE |
State: | IA |
Postal Code: | 503258162 |
Phone Number: | 5152269810 |
Fax Number: | 5159612714 |
NPI Enumeration Date: | 01/10/2006 |
NPI Last Update Date: | 06/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 33546 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |