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MARY ANN JACOB M.D.

>> Pediatrics >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1194741041

Individual Registrant:
 MARY ANN JACOB M.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
2841 DEBARR RD SUITE 45 ANCHORAGE, AK 99508-2932 US
Tel: 907-274-0274  Fax: --

Contact information for business:
2841 DEBARR RD SUITE 45 ANCHORAGE, AK 99508-2932 US
Tel: --  Fax: --

Registration Information:
NPI: 1194741041
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208000000XAllopathic & Osteopathic Physicians
Pediatrics
AK3150

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MD04901AK05




HEALTH CARE JOBS AK - Page 1



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