Individual
DR. JAMIE SKROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
7212 COMMONS CIR, CHEYENNE, WY 82009-2667
(307) 635-4141
(307) 635-6587
Mailing address
7212 COMMONS CIR, CHEYENNE, WY 82009-2667
(307) 635-4141
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS13506
FL
207RG0100X
Gastroenterology Physician
Primary
12618A
WY
390200000X
Student in an Organized Health Care Education/Training Program
UO3896
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033524095
—
WY
Enumeration date
06/27/2014
Last updated
06/21/2021
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