William T. Jacoby in Mesa - Diagnostic Radiology

William T. Jacoby - NPI 1700875515

William T. Jacoby is a Diagnostic Radiology in Mesa, Arizona. William T. Jacoby practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for William T. Jacoby is 1700875515. The last update date is 2019-01-31.

William T. Jacoby's current location address is 1201 S Alma School Rd, Mesa, Arizona. You can contact this provider via phone number 4805458119 and fax number 4809268332. The mailing address for William T. Jacoby is 1201 S Alma School Rd, Mesa, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name William T. Jacoby
Address 1201 S Alma School Rd, Mesa, Arizona
Phone Number 4805458119
Fax Number 4809268332
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1700875515
Provider Enumeration Date 2005-10-14
Last Updated Date 2019-01-31

Provider Mailing Address Detail

Address 1201 S Alma School Rd
City Mesa
State Arizona (AZ)
Post Code 852102008
Phone Number 4805458119
Fax Number 4809268332

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 22425
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
165177 AZ --
Z123768 MEDICARE ID FOR EVAC, LLC

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FAQs about William T. Jacoby

What is the unique identifier code issued to William T. Jacoby by the Centers for Medicare & Medicaid Services?

The William T. Jacoby has been assigned the NPI (National Provider Identifier) 1700875515. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the William T. Jacoby located?

The William T. Jacoby is located at 1201 S Alma School Rd, Mesa, AZ 852102008.

What is William T. Jacoby's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for William T. Jacoby is Diagnostic Radiology, and the taxonomy code that categorizes this field of expertise is 2085R0202X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1700875515 to William T. Jacoby?

The Centers for Medicare & Medicaid Services originally issued the 1700875515 to William T. Jacoby on 2005-10-14.

When was the information regarding William T. Jacoby most recently updated?

The details pertaining to the William T. Jacoby, including its address, specialty, and other relevant information, were last refreshed on 2019-01-31.

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