Individual
DR. DANIEL PETERSON SKINNER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2050 W SOUTHERN AVE STE 102, MESA, AZ 85202-4702
(480) 835-5532
(480) 962-0106
Mailing address
2050 W SOUTHERN AVE, 102, MESA, AZ 85202-4702
(480) 835-5532
(480) 962-0106
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
2010010429
MO
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
48691
AZ
207NS0135X
Procedural Dermatology Physician
32259
AL
207NS0135X
Procedural Dermatology Physician
48691
AZ
207R00000X
Internal Medicine Physician
R71509
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
511-37085
BLUE
AL
Enumeration date
06/15/2009
Last updated
10/05/2020
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