NPI 1487980017

Hart Jacobsen, MD

Practitioner Otolaryngology Physician Lander, WY

Practice location

Address: 30 Pheasant Run Dr, Lander, WY 82520-9783
Phone: (307) 332-3115

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 2675A (WY)

Other Otolaryngology providers in Wyoming →

Registry record

NPI: 1487980017
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Nov 2009
Record last updated: 3 Nov 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.