Individual
RICHARD ST.CLAIR SQUIRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7610 CARROLL AVE, SUITE 360, TAKOMA PARK, MD 20912-6384
(301) 891-2891
(301) 891-2892
Mailing address
198 HALPINE RD, 1319, ROCKVILLE, MD 20852-1661
(301) 984-3124
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
D56953
MD
207RP1001X
Pulmonary Disease Physician
MD22067
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4432870
—
DC
Enumeration date
08/24/2005
Last updated
12/20/2013
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