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Individual

DR. ELOISE SKELTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
500 S 7TH AVE STE D, BARSTOW, CA 92311-3057
(760) 256-1777
(760) 256-7766
Mailing address
500 S 7TH AVE STE D, BARSTOW, CA 92311-3057
(760) 256-1777
(760) 256-7766

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
64166758017
UT
207V00000X
Obstetrics & Gynecology Physician
Primary
G38025
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0G380251
CA
01
3601937
STATE OF ILLINOIS
IL
01
39442
STATE
IA
Enumeration date
02/07/2007
Last updated
07/05/2022
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