Organization · Type 2 NPI

Dwayne St. Jacques MD PLLC

Pediatric Adolescent Medicine Physician · Phoenix, AZ

NPI number 1902370349 Active

Practice location

15215 South 48th Street, Suite 110
Phoenix, AZ 85044-9375

Fax (480) 783-8967

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000XNone listed
Pediatric Adolescent Medicine Physician Primary 2080A0000XNone listed

Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

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About NPI 1902370349

Dwayne St. Jacques MD PLLC's National Provider Identifier is 1902370349, issued on Jan 18, 2019. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Phoenix, AZ. The record was last updated on Jan 18, 2019.