Individual
SAMUEL ROTH SKOVGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
519 S PEABODY ST, PORT ANGELES, WA 98362-6229
(360) 417-7000
(360) 565-9241
Mailing address
519 S PEABODY ST, PORT ANGELES, WA 98362-6229
(360) 565-9237
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD61321058
WA
Other
Enumeration date
04/06/2016
Last updated
10/04/2022
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