Jacob O Wardwell, DO Valid NPI

Individual provider · Sports Medicine (Family Medicine) Physician · San Francisco, CA

NPI

1063723781

Type

Individual (Type 1)

Primary specialty

Sports Medicine (Family Medicine) Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207QS0010X

License number

12776 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2010-06-28

Last updated

2018-02-21