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David M Squicquero

Male

Medical Specialty

Diagnostic Radiology

Professional ID

NPI: 1417969684
PECOS ID: 3274525738
Enrollment ID: I20050223000326
Credential(MD, DO, DPM): MD
Medical School: Loyola University Of Chicago Stritch School Of Medicine
Medical School Graduation Year: 1975

Hospital Service

Hospital CCN1: 060031
Business Name (LBN)1: Centura Health-penrose St Francis Health Services

Medical Practices

Organization Name: Colorado Springs Radiologists Pc
Group Practice ID assigned by PECOS: 6901890094
Number of Group Practice member: 25

Location

Address1: 2222 N Nevada Ave
Address2:
City: Colorado Springs
State: Colorado
Zip Code: 80907
Phone Number: (719)593-1799

Location

Address1: 6001 E Woodman Rd
Address2:
City: Colorado Springs
State: Colorado
Zip Code: 80923
Phone Number: (719)593-1799

Medicare

Medicare Assignment: Yes
Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
Used Electronic health record (EHR):