Dwayne Michael St Jacques in Phoenix - Pediatrics
Dwayne Michael St Jacques - NPI 1508830803
Dwayne Michael St Jacques is a Pediatrics in Phoenix, Arizona. Dwayne Michael St Jacques practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Dwayne Michael St Jacques is 1508830803. The last update date is 2019-01-22.
Dwayne Michael St Jacques's current location address is 15215 S 48th St, Phoenix, Arizona. You can contact this provider via phone number 4807838964 and fax number 4807838967. The mailing address for Dwayne Michael St Jacques is 15215 S 48th St, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dwayne Michael St Jacques |
|---|---|
| Address | 15215 S 48th St, Phoenix, Arizona |
| Phone Number | 4807838964 |
| Fax Number | 4807838967 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1508830803 |
|---|---|
| Provider Enumeration Date | 2006-02-14 |
| Last Updated Date | 2019-01-22 |
Provider Mailing Address Detail
| Address | 15215 S 48th St |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850449142 |
| Phone Number | 4807838964 |
| Fax Number | 4807838967 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | AZ24143 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 424052 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Dwayne Michael St Jacques by the Centers for Medicare & Medicaid Services?
The Dwayne Michael St Jacques has been issued the NPI (National Provider Identifier) 1508830803 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Dwayne Michael St Jacques's facilities are geographically located?
The facilities of Dwayne Michael St Jacques are physically situated at the following location: 15215 S 48Th St, Phoenix, AZ, 850449142.
What is Dwayne Michael St Jacques's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dwayne Michael St Jacques's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 208000000X.
On what date did the Dwayne Michael St Jacques receive its 1508830803 assignment from the Centers for Medicare & Medicaid Services?
The Dwayne Michael St Jacques was assigned its 1508830803 by the Centers for Medicare & Medicaid Services on 2006-02-14.
As of what date were the details pertaining to Dwayne Michael St Jacques last refreshed?
The information related to the Dwayne Michael St Jacques, including its address, specialty, and other relevant details, was last updated on 2019-01-22.