Search › Arizona › 152W00000X
Derek Jacobsen
NPI 1124462593 · on the registry since 2013
Practice
- Address
- 13613 W Camino Del Sol Ste 2
Sun City West, AZ 85375 - Phone
- (623) 584-2100
- Fax
- (623) 584-0023
- Organisation at this address
- Roy J Watts Do Pc
Vishal D. Singh, Md, Pc
Astra Medical Clinic, Pc
La Laser Center Pc, A Professional Medical CorporationInferred from a shared address, not stated in the registry.
Additional practice sites
- 7727 W Deer Valley Rd Ste E200, Peoria, AZ
- 18325 N Allied Way, Phoenix, AZ
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-03-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona