Individual provider · Type 1 NPI

Dwayne Michael ST Jacques, MD

Pediatrics Physician · Phoenix, AZ

NPI number 1508830803 Active

Practice location

15215 S 48th St, Suite 110
Phoenix, AZ 85044-9142

Call (480) 783-8964 Map

Fax (480) 783-8967

Specialties and licenses

TaxonomyCodeLicense
Pediatric Adolescent Medicine Physician 2080A0000X24143 (AZ)
Pediatrics Physician Primary 208000000XAZ24143 (AZ)

Pediatrics Physician: 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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1508830803

Dwayne Michael ST Jacques, MD's National Provider Identifier is 1508830803, issued on Feb 14, 2006. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Phoenix, AZ. The record was last updated on Jan 22, 2019.