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Organization
LESLIE A. SQUIRES, MD., INC.
Active
Organization
LESLIE A. SQUIRES, MD., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE ALLEN SQUIRES (PRESIDENT)
(415) 621-6886
Entity
Organization
Contact information
Practice address
45 CASTRO ST, STE 338, SAN FRANCISCO, CA 94114-1010
(415) 621-6886
Mailing address
45 CASTRO ST, STE 338, SAN FRANCISCO, CA 94114-1010
(415) 621-6886
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598837791
NPI
CA
01
—
A35988
UPIN
CA
01
—
ZZZ06073Z
MEDICARE GROUP
CA
Enumeration date
12/13/2007
Last updated
04/16/2008
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