Individual
DAVID M. SQUICQUERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5133 SHAVANO CT, WINDSOR, CO 80550-2583
(970) 674-1201
(970) 674-0221
Mailing address
5133 SHAVANO CT, WINDSOR, CO 80550-2583
(970) 674-1201
(970) 674-0221
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
40862
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83176713
—
CO
Enumeration date
08/13/2006
Last updated
10/31/2013
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