Individual
MATHIEU SQUIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10710 N TORREY PINES RD, LA JOLLA, CA 92037-1035
(858) 554-7993
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-7993
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A194564
CA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
A194564
CA
Other
Enumeration date
06/04/2019
Last updated
07/01/2024
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