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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DWAYNE ST. JACQUES MD PLLC

Active Organization

DWAYNE ST. JACQUES MD PLLC is a Adolescent Medicine (Pediatrics) organization located in PHOENIX, Arizona. NPI 1902370349 is currently active in the NPPES registry. Verify at CMS.

Adolescent Medicine (Pediatrics) · PHOENIX, AZ

Registration Details

NPI Number
1902370349
Provider Type
Organization
NPI Issued
Jan 18, 2019 (7.5996841542449 yrs)
Last Updated
Jan 18, 2019

Practice Information

Address
15215 SOUTH 48TH STREET
SUITE 110
PHOENIX, AZ, 850449375
Browse AZ providers · Browse ZIP 85044
Phone
4807838964
Fax
4807838967
Primary Specialty
Adolescent Medicine (Pediatrics)
2080A0000X

Other Adolescent Medicine (Pediatrics) Organizations in PHOENIX, AZ

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.