Bradley S Jacobs, MD
Psychiatry & Neurology, Neurology in Dayton, OH. Individual provider (NPI-1).
NPI number1104882976
StatusActive
Last updated in NPPESApr 20, 2015
Details
- NPI
- 1104882976
- Entity type
- Individual (NPI-1)
- Name
- Bradley S Jacobs
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 21, 2006
- Last updated
- Apr 20, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | 35-086454 | OH | Yes |
Practice location
30 E Apple St Ste 5254aDayton, OH 45409-2939
Phone 937-208-4200 · Fax 937-208-4205
Mailing address
30 E Apple St Ste 5254aDayton, OH 45409-2939
Phone 937-208-4200 · Fax 937-208-4205
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