IndividualActive
Aaron Jacob, MD
NPI 1275524274 · General Practice Physician · Fort Leonard Wood, MO
Provider details
- NPI number
- 1275524274
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- License
- 40656 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
126 Missouri Ave
Glwach Attn: Mcxp-Ccs-Cr
Fort Leonard Wood, MO 65473-8952
Phone: (573) 596-0417
Fax: (573) 596-0524
Approximate (ZIP-level) locationGet directions
Mailing address
126 Missouri Ave
Fort Leonard Wood, MO 65473-8952
Registry dates
- Enumerated
- 2005-10-31
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.