DANA R JACQUES MD INC NPI 1700103249

NPI Information

DANA R JACQUES MD INC is a gynecology obstetrics gynecology in Roseville, CA. DANA R JACQUES MD INC NPI is 1700103249. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1082 SUNRISE AVE
SUITE 190
ROSEVILLE, CA
ZIP 95661-302
Phone: (916) 788-2000
Fax: (916) 788-2010

The provider's authorized official is Dana R Jacques .
The authorized official title is President and has the following contact phone number (916) 788-2000.

The enumeration date for this NPI number is 4/23/2010 and was last updated on 8/9/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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