Dr. Dwayne Michael St Jacques, MD
Dr. Dwayne Michael St Jacques, MD is a Pediatric Adolescent Medicine Physician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2006.
- Licensed in
- AZ
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
15215 S 48th St Ste 110Phoenix, AZ 85044-9142
Phone: (480) 783-8964
Fax: (480) 783-8967
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X · Licence AZ24143 (AZ) |
|---|---|
| Pediatric Adolescent Medicine Physician | Taxonomy 2080A0000X · Licence 24143 (AZ) |
Record details
| NPI number | 1508830803 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | February 14, 2006 |
| Last updated in NPPES | January 22, 2019 |
| Mailing address | 15215 S 48th St, Suite 110, Phoenix, AZ 85044-9142 |
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