Breanne M Jaqua, D.O.

NPI #1821520313 in Gilbert, Arizona

Provider Information

NPI Number: 1821520313
Entity Type: Individual
Name: Breanne M Jaqua, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: D.O.
Enumeration Date: Apr 3, 2017
Last Updated: Feb 10, 2022

Practice Location

Address: 1501 N GILBERT RD
City: Gilbert
State: Arizona
ZIP Code: 85234-2390
Phone: (480) 728-4100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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