Organization
MIKEL W SKOUSEN DO LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIKEL WILLARD SKOUSEN D.O. (PHYSICIAN)
(480) 833-5383
Entity
Organization
Contact information
Practice address
457 E 4TH PL, MESA, AZ 85203-7154
(480) 833-5383
(480) 833-5385
Mailing address
457 E 4TH PL, MESA, AZ 85203-7154
(480) 833-5383
(480) 833-5385
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
1213
AZ
Other
Enumeration date
04/18/2011
Last updated
09/09/2011
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