NPI 1235289935

Jeffrey Jacques, DO

Practitioner Anesthesiology Physician Prescott, AZ

Practice location

Address: 1003 Willow Creek Rd, Prescott, AZ 86301-1641
Phone: (928) 445-2700
Mailing address: PO Box 29211, Phoenix, AZ 85038-9211

Registered specialties

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 4473 (AZ)

Other Anesthesiology providers in Arizona →

Registry record

NPI: 1235289935
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jan 2007
Record last updated: 21 Apr 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.