Jason Squires, PA

NPI #1982640116 in Durant, Oklahoma

Provider Information

NPI Number: 1982640116
Entity Type: Individual
Name: Jason Squires, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jun 22, 2006
Last Updated: Mar 17, 2018

Practice Location

Address: 698 WESTSIDE DR STE 110
City: Durant
State: Oklahoma
ZIP Code: 74701-3085

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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