Individual
DR. TENIA LADONNA SKINNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
129 N 3RD AVE STE C, PURCELL, OK 73080
(405) 641-6628
(405) 527-6569
Mailing address
129 N 3RD AVE STE C, PURCELL, OK 73080-4246
(405) 641-6628
(405) 527-6569
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3884
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200204740A
—
OK
Enumeration date
07/28/2008
Last updated
08/06/2018
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