Individual
GARY OWEN SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
18675 EAST 39TH STREET, SUITE M, INDEPENDENCE, MO 64057-1762
(816) 795-9911
(816) 795-1911
Mailing address
18675 EAST 39TH STREET, SUITE M, INDEPENDENCE, MO 64057-1762
(816) 795-9911
(816) 795-1911
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
0516202
KS
208D00000X
General Practice Physician
692
HI
208D00000X
General Practice Physician
Primary
R5996
MO
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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