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Individual
NATHAN WILLIAM SKELLEY
Active
Individual
NATHAN WILLIAM SKELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
11792
SD
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
2017006766
MO
Other
Enumeration date
05/19/2011
Last updated
11/22/2021
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