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Search › Utah › Diagnostic Radiology Physician

Benjamin Jacobs, MD

NPI 1982846119 · on the registry since 2009

Practice

Address
1055 N 500 W
Ste 112
Provo, UT 84604
Phone
(801) 812-4624
Fax
(801) 812-4699
Organisation at this address
Revere Health Pc
Revere Health Pc
Total Renal Care Inc
Total Renal Care Inc
Central Utah Clinic, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
235

Registry record

Primary taxonomy
Diagnostic Radiology Physician
2085R0202X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-03-25

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 Utah