Individual
CHRISTOPHER SHAWN SKILLERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N BRENT ST STE 201, VENTURA, CA 93003-2835
(805) 643-3330
(805) 643-3331
Mailing address
100 N BRENT ST STE 201, VENTURA, CA 93003-2835
(805) 643-3330
(805) 643-3331
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
A79501
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
770002352
RAILROAD MEDICARE
—
Enumeration date
09/25/2006
Last updated
11/24/2021
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