Dr. Dwayne Michael St Jacques
MD | Pediatrics | Male
Dr. Dwayne Michael St Jacques, MD is a Phoenix, Arizona based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Dwayne Michael St Jacques is
15215 S 48th St, Suite 110, Phoenix, Arizona - 85044-9142. He can be contacted on phone at
480-783-8964 and fax number 480-783-8967.
Dr. Dwayne Michael St Jacques is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Dwayne Michael St Jacques is
1508830803 which was assigned by NPPES on 14 Feb, 2006 and it was last updated on 22 Jan, 2019.
Dr. Dwayne Michael St Jacques license number is
AZ24143 for Pediatrics (208000000X) in Arizona.
Dr. Dwayne Michael St Jacques is a pediatrician who 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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Dwayne Michael St Jacques basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Dwayne Michael St Jacques |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Dwayne Michael St Jacques address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 15215 S 48th St, Suite 110
Phoenix, AZ, 85044-9142
United States |
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| Phone Number : | 480-783-8964 |
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| Fax Number : | 480-783-8967 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1508830803 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 14 Feb, 2006 |
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| Last Updated On : | 22 Jan, 2019 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Dwayne Michael St Jacques are as mentioned. Primary taxonomy code for Dr. Dwayne Michael St Jacques, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | No | 24143 | AZ |
| 208000000X | Pediatrics | Yes | AZ24143 | AZ |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Dwayne Michael St Jacques such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 424052 | MEDICAID | AZ | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 15215 S 48th St, Suite 110
Phoenix, AZ, 85044-9142
United States |
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| Phone Number : | 480-783-8964 |
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| Fax Number : | 480-783-8967 |
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Business Location:
Patients can refer following map for directions to
Dr. Dwayne Michael St Jacques practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.