| Leslie A. Squires, Md., Inc. | |
|
45 Castro St Ste 338 San Francisco CA 94114-1010 | |
| (415) 621-6886 | |
| Not Available |
| Full Name | Leslie A. Squires, Md., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 45 Castro St, San Francisco, California |
| Authorized Official Name and Position | Leslie Allen Squires (PRESIDENT) |
| Authorized Official Contact | 4156216886 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie A. Squires, Md., Inc. 45 Castro St Ste 338 San Francisco CA 94114-1010 Ph: (415) 621-6886 | Leslie A. Squires, Md., Inc. 45 Castro St Ste 338 San Francisco CA 94114-1010 Ph: (415) 621-6886 |
| NPI Number | 1619150513 |
|---|---|
| Provider Enumeration Date | 12/13/2007 |
| Last Update Date | 04/16/2008 |
| Medicare PECOS PAC ID | 3577643121 |
|---|---|
| Medicare Enrollment ID | O20080108000759 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619150513 | NPI | - | NPPES |
| ZZZ06073Z | Other | CA | MEDICARE GROUP |
| 1598837791 | Other | CA | NPI |
| A35988 | Other | CA | UPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Leslie A Squires |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598837791 PECOS PAC ID: 5496835043 Enrollment ID: I20080108000749 |
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