Organization
W. RONALD SKOWSKY, MD. LLC.
Active
Parent organization
W. RONALD SKOWSKY, MD. LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
W. RONALD SKOWSKY, MD. LLC
Authorized official
SHEILA STONE (OFFICE MANAGER)
(318) 841-2820
Entity
Organization
Contact information
Practice address
1801 FAIRFIELD AVE, STE 307, SHREVEPORT, LA 71101-4443
(318) 841-2820
(318) 841-2821
Mailing address
1801 FAIRFIELD AVE, STE 307, SHREVEPORT, LA 71101-4443
(318) 841-2820
(318) 841-2821
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12346R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1430625
—
LA
Enumeration date
12/13/2010
Last updated
12/13/2010
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