Organization
RICHARD SQUIRES, MD,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ST. CLAIR SQUIRES M.D., (PHYSICIAN/OWNER)
(301) 237-3630
Entity
Organization
Contact information
Practice address
7610 CARROLL AVE, #360, TAKOMA PARK, MD 20912-6384
(301) 891-2891
(301) 891-2892
Mailing address
7610 CARROLL AVE, #360, TAKOMA PARK, MD 20912-6384
(301) 891-2891
(301) 891-2892
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
D56963
MD
Other
Enumeration date
12/11/2007
Last updated
12/11/2007
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