Russell Jacoby, MD

NPI 1700852878 · on the registry since 2006 · sole proprietor

Practice

Address: 3108 Ponte Morino Drive
Palmer Professional Centre Suite 230
Cameron Park, CA 95682
Phone: (530) 672-2701
Fax: (530) 672-9097
Organisation at this address: Parker Home Healthcare, Inc.
California Gastroenterology, A Medical Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 207RG0100X
207RG0100X
Also registered as: 207RG0100X
207RG0100X
Licence states on file: WI, CA, IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-02-04

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 California