Organization
R SKOGLUND M D PLLC
Active
Other names
Rodney D. Skoglund, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODNEY D SKOGLUND MD (OWNER)
(206) 242-7900
Entity
Organization
Contact information
Practice address
16259 SYLVESTER RD SW, SUITE 504, BURIEN, WA 98166-3049
(206) 242-7900
Mailing address
16259 SYLVESTER RD SW, SUITE 504, BURIEN, WA 98166-3049
(206) 592-5000
(206) 824-9510
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1803808
—
WA
01
—
CD1903
RR MEDICARE
WA
Enumeration date
07/23/2006
Last updated
08/10/2015
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