NPI 1326070152

Jeffrey P Squires, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Fort Wayne, IN

Practice location

Address: 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140
Phone: (260) 435-7154
Fax: (260) 435-7633
Mailing address: 3240b Mallard Cove Ln, Fort Wayne, IN 46804-2883

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 1028175 (IN)

Other Pathology providers in Indiana →

Registry record

NPI: 1326070152
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jul 2006
Record last updated: 28 Jan 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.