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Search › Arizona › 208000000X

Dwayne St Jacques, MD

NPI 1508830803 · on the registry since 2006

Practice

Address
15215 S 48th St
Suite 110
Phoenix, AZ 85044
Phone
(480) 783-8964
Fax
(480) 783-8967
Organisation at this address
Coko Llc
Azure Gd1 Llc
Lanie Dental Llc
Mark J. Page Od Pc
Insight Health Corp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
48

Registry record

Primary taxonomy
208000000X
208000000X
Also registered as
2080A0000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-01-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona