IndividualActive
Marc Jacobson, MD
NPI 1922178367 · Pediatric Adolescent Medicine Physician · Tucson, AZ
Provider details
- NPI number
- 1922178367
- Entity type
- Individual
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 162392 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1500 N Wilmot Rd Ste B250
Tucson, AZ 85712-4416
Phone: (520) 324-7840
Fax: (520) 324-7839
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 31235
Tucson, AZ 85751-1235
Registry dates
- Enumerated
- 2006-11-09
- Last updated
- 2021-08-18
- Certified
- 2021-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.