David Paul Jaques MD

NPI 1093706541 - Surgery - 208600000X

NPI Details
NPI 1093706541
Gender Male
Enumeration Date 11/03/2005
Last Updated 11/03/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
4921 PARKVIEW PL
STE 8C
SAINT LOUIS MO, 63110-1032, US
Phone (314) 747-2938
Fax (314) 367-1943
Business Location
660 S EUCLID AVE
C B 8109
SAINT LOUIS MO, 63110-1010, US
Phone (314) 747-2938
Fax (314) 367-1943
Toxanomy
Taxonomy Code 208600000X
License State Missouri
License Number 2007012289
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According to our database, Dr. David Paul Jaques MD NPI is 1093706541, taxonomy code is 208600000X and license number is 2007012289, license state is located at Missouri. David Paul Jaques MD physically located at 4921 Parkview Pl, Saint Louis MO, 63110-1032. NPI Number David Paul Jaques MD has the Individual type.

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1093706541 NPI number is provided on an as is basis without warranty of any kind. 1093706541 is maintained by the National Plan & Provider Enumeration System. The contents of David Paul Jaques MD are for informational purposes only.