Provider Demographics
NPI:1265108740
Name:GAARE, JACOB (PA-C)
Entity type:Individual
Prefix:
First Name:JACOB
Middle Name:
Last Name:GAARE
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:554 W LINDNER AVE
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85210-6834
Mailing Address - Country:US
Mailing Address - Phone:480-370-4216
Mailing Address - Fax:
Practice Address - Street 1:1100 S DOBSON RD STE 223
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-6160
Practice Address - Country:US
Practice Address - Phone:480-821-8888
Practice Address - Fax:480-821-0888
Is Sole Proprietor?:No
Enumeration Date:2021-08-17
Last Update Date:2023-05-05
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant