Individual
SKYLAR ALSOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(717) 919-8393
Mailing address
614 BLACKTHORNE CT, CHESAPEAKE, VA 23322-9087
(717) 919-8393
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
11284209-1205
UT
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
0101247166
VA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
MT186091
PA
Other
Enumeration date
05/15/2007
Last updated
06/16/2019
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