Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob David Gozdor

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407588817

Jacob David Gozdor is a Student in an Organized Health Care Education/Training Program in Tucson, Arizona. Licensed in Arizona and Michigan. Registered with an NPI since 2022.

Licensed in
AZ, MI
In the registry since
2022
Specialties on file
2

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Tucson, AZ

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence R80915 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence G235356135366 (MI)

Record details

NPI number1407588817
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 26, 2022
Last updated in NPPESApril 15, 2024
Certification dateApril 15, 2024

Other providers in Tucson