| Charles A Jacobson, MD | |
|
2500 W A St, Suite 201, Moscow, ID 83843-5065 | |
| (208) 883-2828 | |
| (208) 882-2179 |
| Full Name | Charles A Jacobson |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 2500 W A St, Moscow, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760492656 | NPI | - | NPPES |
| 0102784 | Other | WA | DEPT OF LABOR |
| 002743901 | Medicaid | ID | |
| 1092733 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | M6567 (Idaho) | Primary |
| 207X00000X | Orthopaedic Surgery | 31851 (Washington) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Charles A Jacobson, MD 2500 W A St, Suite 201, Moscow, ID 83843-5065 Ph: (208) 883-2828 | Charles A Jacobson, MD 2500 W A St, Suite 201, Moscow, ID 83843-5065 Ph: (208) 883-2828 |
Leo Y Chough, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2301 W A St, Moscow, ID 83843 Phone: 208-883-1135 |
Dr. Marvin Renell Kym, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2301 W A St, Moscow, ID 83843 Phone: 208-883-1135 Fax: 208-892-0174 |
Dr. Aaron James Vandenbos, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 W A St Ste 201, Moscow, ID 83843 Phone: 208-883-2828 Fax: 208-882-2179 |