Individual
SUZANNE M SKOOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8573 E PRINCESS DR, STE. B215, SCOTTSDALE, AZ 85255-7819
(480) 563-5757
(480) 563-5851
Mailing address
PO BOX 11128, TACOMA, WA 98411-0128
(253) 272-8148
(253) 404-0506
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
33869
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33869
AZ LICENSE
AZ
05
—
957996
—
AZ
01
—
Z102830
MEDICARE PTAN GROUP
AZ
Enumeration date
02/20/2006
Last updated
04/10/2014
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