Individual
JOHN MATTHEW SKIDMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
22221 WESTERNPORT RD SW, WESTERNPORT, MD 21562-2206
(240) 774-0204
(833) 448-0362
Mailing address
410 PARK ST, FROSTBURG, MD 21532-1510
(301) 707-6746
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R210726
MD
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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