Matthew Paul Jacobsson, DO
Surgery in Meridian, ID. Individual provider (NPI-1).
NPI number1508350331
StatusActive
Last updated in NPPESSep 18, 2026
Details
- NPI
- 1508350331
- Entity type
- Individual (NPI-1)
- Name
- Matthew Paul Jacobsson
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2018
- Certification date
- Sep 18, 2026
- Last updated
- Sep 18, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 1881505 | ID | Yes |
Practice location
520 S Eagle Rd Ste 1241Meridian, ID 83642-6355
Phone 208-381-6930 · Fax 208-381-6931
Mailing address
190 E Bannock StBoise, ID 83712-6241
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