Provider Demographics
NPI:1891829016
Name:DORIS, JACOB BURTON (MD)
Entity type:Individual
Prefix:DR
First Name:JACOB
Middle Name:BURTON
Last Name:DORIS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:975 KIRMAN AVE
Mailing Address - Street 2:(116)
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-0993
Mailing Address - Country:US
Mailing Address - Phone:775-326-5720
Mailing Address - Fax:775-328-1403
Practice Address - Street 1:975 KIRMAN AVE
Practice Address - Street 2:(116)
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-0993
Practice Address - Country:US
Practice Address - Phone:775-326-5720
Practice Address - Fax:775-328-1403
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2011-11-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV135922084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry