Organization
ROBERT G SKELLEY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GERARD SKELLEY O.D. (PRESIDENT)
(563) 652-5603
Entity
Organization
Contact information
Practice address
204 N ARCADE ST, MAQUOKETA, IA 52060-2006
(563) 652-5603
(563) 323-0949
Mailing address
PO BOX 670, MAQUOKETA, IA 52060-0670
(563) 652-5603
(563) 323-0949
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
01672
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0156133
—
IA
Enumeration date
11/09/2009
Last updated
08/25/2014
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