Organization · Type 2 NPI
Dana R Jacques MD Inc
Gynecology Physician · Roseville, CA
NPI number
1700103249
Active
Practice location
1082 Sunrise Ave, Suite 190
Roseville, CA 95661-4302
Fax (916) 788-2010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gynecology Physician Primary | 207VG0400X | G88578 (CA) |
Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
About NPI 1700103249
Dana R Jacques MD Inc's National Provider Identifier is 1700103249, issued on Apr 23, 2010. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in Roseville, CA. The record was last updated on Aug 9, 2011.