Individual
DR. ERIK DALE SKOOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
427 S BERNARD ST, SPOKANE, WA 99204-2509
(509) 456-0107
(509) 747-2635
Mailing address
427 S BERNARD ST, SPOKANE, WA 99204-2509
(509) 456-0107
(509) 747-2635
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD00041350
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010140674
ASURIS (REGENCE BS OF ID)
ID
01
—
161203
LABOR AND INDUSTRIES
WA
01
—
180044927
RAILROAD MEDICARE
WA
01
—
26128
GROUP HEALTH
WA
01
—
806373100
PUBLIC ASSISTANCE
ID
05
—
8317018
—
WA
01
—
A028
TRICARE
WA
01
—
KS442
BLUE CROSS OF IDAHO
ID
01
—
S 2235SK
ASURIS(REGENCE NW HEALTH)
WA
01
—
WA 0690
NORTHWEST BENEFIT NETWORK
WA
Enumeration date
07/11/2005
Last updated
07/31/2024
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