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Trevor Jacobson, M.D
NPI 1366677759 · on the registry since 2009
Practice
- Address
- 166 S 5th St
Montpelier, ID 83254 - Phone
- (208) 847-1110
- Fax
- (208) 847-0228
- Organisation at this address
- Clay I. Campbell M.D.,P.C.
Bear Lake County Memorial HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-12-11
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 Idaho