Individual
DR. NANCY A. SQUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3066 SW GRANDSTAND CIR, LEES SUMMIT, MO 64081-3866
(913) 215-5008
(816) 817-1299
Mailing address
PO BOX 875743, KANSAS CITY, MO 64187-5743
(913) 215-5008
(816) 817-1299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
113740
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204623615
—
MO
Enumeration date
07/19/2006
Last updated
12/06/2016
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