IndividualActive
Hart Jacobsen, M.D.
NPI 1487980017 · Otolaryngology Physician · Lander, WY
Provider details
- NPI number
- 1487980017
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2675A (WY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
30 Pheasant Run Dr
Lander, WY 82520-9783
Phone: (307) 332-3115
Approximate (ZIP-level) locationGet directions
Mailing address
30 Pheasant Run Dr
Lander, WY 82520-9783
Registry dates
- Enumerated
- 2009-11-03
- Last updated
- 2009-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.