Individual
JAMES M SQUIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5343 TALLMAN AVE NW, SUITE 203, SEATTLE, WA 98107-3931
(206) 789-5555
Mailing address
5343 TALLMAN AVE NW, SUITE 203, SEATTLE, WA 98107-3931
(206) 789-5555
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M000018087
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0075142
LABOR & INDUSTRIES
—
05
—
1049717
—
WA
01
—
S693
REGENCE
—
Enumeration date
01/28/2007
Last updated
05/22/2008
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