IndividualActive
Paul Jacob, D.O.
NPI 1548433345 · Adult Reconstructive Orthopaedic Surgery Physician · Oklahoma City, OK
Provider details
- NPI number
- 1548433345
- Entity type
- Individual
- Primary specialty
- Adult Reconstructive Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 390200000X (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
9800 Broadway Extension
Suite 201
Oklahoma City, OK 73114
Phone: (405) 424-5426
Fax: (405) 424-5431
Approximate (ZIP-level) locationGet directions
Mailing address
9800 Broadway Extension
Oklahoma City, OK 73114
Registry dates
- Enumerated
- 2008-04-12
- Last updated
- 2016-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.