DANIEL A SQUIRE

SAINT ANTHONY, ID
NPI1447734892
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1661)
Enumeration Date2018-09-21
Last Update Date2024-12-02
Business Address
DANIEL A SQUIRE PA-C
335 E MAIN ST STE 3
SAINT ANTHONY, ID 83445-1546
Phone number: 208-356-4900
Mailing Address
DANIEL A SQUIRE PA-C
PO BOX 18
SAINT ANTHONY, ID 83445-0018
Phone number: 208-356-4900