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NPI Verification

National Provider Identifier: 1497736177

Michael Craig Jacobson, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Urology

Code: 208800000X

All Specialties (2)

Urology

Code: 208800000X

Urology

Code: 208800000X

Primary

Practice Address

190 E BANNOCK ST

BOISE, ID 837126241

NPI Enumeration Date

November 9, 2005

NPI Number

1497736177

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Michael Jacobson, M.d. - NPI 1497736177 | Provider Verification | HormoneMap