Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DWAYNE MICHAEL ST JACQUES, MD
ActiveDR. DWAYNE MICHAEL ST JACQUES, MD is a Pediatrics healthcare provider located in PHOENIX, Arizona. NPI 1508830803 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · PHOENIX, AZ
Registration Details
- NPI Number
- 1508830803
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 14, 2006 (20.536998600896 yrs)
- Last Updated
- Jan 22, 2019
- Licenses
-
24143 (AZ)AZ24143 (AZ)
Practice Information
- Address
-
15215 S 48TH STSUITE 110PHOENIX, AZ, 850449142Browse AZ providers · Browse ZIP 85044
- Phone
- 4807838964
- Fax
- 4807838967
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in PHOENIX, AZ
| Name | Credential | NPI |
|---|---|---|
| AMY R RAMPLEY | D.O. | 1134122492 |
| ELAINE T SANTOS | MD | 1609879964 |
| LISA RING | MD | 1972505097 |
| RUDY SERINO | MD | 1609878727 |
| ANN OLAND | MD | 1972507226 |
| KIM AMJADI | MD | 1417951765 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.