Individual
DR. BRIAN J SKILLICORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9825 KENWOOD RD, SUITE 105, BLUE ASH, OH 45242-6251
(513) 872-4500
(513) 527-0416
Mailing address
9825 KENWOOD RD, SUITE 105, BLUE ASH, OH 45242-6251
(513) 872-4500
(513) 527-0416
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A90790
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200842630
—
IN
05
—
2686964
—
OH
05
—
7100039440
—
KY
Enumeration date
07/14/2006
Last updated
07/01/2011
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