Individual
CHAD ALLEN SQUIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
932 S MAIN ST UNIT B203, SNOWFLAKE, AZ 85937-5585
(928) 414-1280
(928) 414-1280
Mailing address
932 S MAIN ST UNIT B203, SNOWFLAKE, AZ 85937-5585
(928) 457-0961
(928) 457-0929
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
353
NM
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
875
AZ
213ES0131X
Foot Surgery Podiatrist
00875
AZ
Other
Enumeration date
08/30/2010
Last updated
08/06/2025
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