Individual
DIXIE SQUIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
22 BRAMHALL ST, CARDIAC SERVICES, PORTLAND, ME 04102-3134
(207) 662-0111
Mailing address
22 BRAMHALL ST, CARDIAC SERVICES, PORTLAND, ME 04102-3134
(207) 662-0111
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1189
ME
Other
Enumeration date
02/03/2010
Last updated
02/27/2024
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