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Individual

HOMER L SKINNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
107 ROYAL BIRKDALE DR, SUITE A, COLUMBIANA, OH 44408-8493
(330) 482-9350
(330) 482-2336
Mailing address
9471 MARKET ST, SUITE B, NORTH LIMA, OH 44452-8702
(330) 729-2388
(330) 629-6468

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34003396S
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0552745
OH
Enumeration date
09/11/2006
Last updated
08/16/2018
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