Mark Lawrence Jacques in Fort Rucker - Pediatrics
Mark Lawrence Jacques - NPI 1780702811
Mark Lawrence Jacques is a Pediatrics in Fort Rucker, Alabama. Mark Lawrence Jacques practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Mark Lawrence Jacques is 1780702811. The last update date is 2022-04-28.
Mark Lawrence Jacques's current location address is 301 Andrews Avenue, Fort Rucker, Alabama. You can contact this provider via phone number 3342557040. The mailing address for Mark Lawrence Jacques is 301 Andrews Avenue, Fort Rucker, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Lawrence Jacques |
|---|---|
| Address | 301 Andrews Avenue, Fort Rucker, Alabama |
| Phone Number | 3342557040 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1780702811 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2022-04-28 |
Provider Mailing Address Detail
| Address | 301 Andrews Avenue |
|---|---|
| City | Fort Rucker |
| State | Alabama (AL) |
| Post Code | 363625333 |
| Phone Number | 3342557040 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 219194 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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What is the unique 10-digit identifier code issued to Mark Lawrence Jacques by the Centers for Medicare & Medicaid Services?
The Mark Lawrence Jacques has been assigned the NPI (National Provider Identifier) 1780702811 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Mark Lawrence Jacques's facilities are situated?
The facilities of Mark Lawrence Jacques are physically located at the following address: 301 Andrews Avenue, Fort Rucker, AL, 363625333.
What is Mark Lawrence Jacques's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mark Lawrence Jacques is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 208000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1780702811 to Mark Lawrence Jacques?
The Mark Lawrence Jacques received its 1780702811 assignment from the Centers for Medicare & Medicaid Services on 2007-03-27.
When was the Mark Lawrence Jacques's information last updated?
The Mark Lawrence Jacques's information was last updated on 2022-04-28.
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