Organization
CDU, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN THEODORE SKOWRONSKI MD (PRESIDENT)
(870) 850-6053
Entity
Organization
Contact information
Practice address
1600 W 42ND AVE, PINE BLUFF, AR 71603-7006
(870) 541-7111
(870) 850-6482
Mailing address
316 W 6TH AVE, PINE BLUFF, AR 71601-4217
(870) 850-6053
(870) 850-6482
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
AR
Enumeration date
04/09/2012
Last updated
04/13/2012
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