Individual
BRIAN SKIDMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 W THOMAS RD, PHOENIX, AZ 85013-4496
(623) 570-8750
Mailing address
13001 E 17TH PL, AURORA, CO 80045-2570
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
14210939-1205
UT
Other
Enumeration date
04/12/2020
Last updated
12/29/2025
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