Individual
ALLEN R SKIDMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16528 E DESMET CT, SPOKANE VALLEY, WA 99216-3522
(509) 944-9440
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
26688
SC
207Q00000X
Family Medicine Physician
Primary
MD00046129
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8459372
—
WA
Enumeration date
09/14/2005
Last updated
03/19/2021
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