IndividualActive
Joseph Jacob
NPI 1720030349 · Gynecologic Oncology Physician · Cape Girardeau, MO
Provider details
- NPI number
- 1720030349
- Entity type
- Individual
- Primary specialty
- Gynecologic Oncology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 36615 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
150 S Mount Auburn Rd
Ste 344
Cape Girardeau, MO 63703-4910
Phone: (573) 331-5515
Fax: (573) 331-5516
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 843225
Kansas City, MO 64184-3225
Registry dates
- Enumerated
- 2006-05-16
- Last updated
- 2010-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.