Individual
DR. JONATHAN SKUPSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD/PHD
Contact information
Practice address
333 CITY BLVD W, SUITE 400, ORANGE, CA 92868
(714) 456-7890
Mailing address
333 CITY BLVD W, SUITE 400, ORANGE, CA 92868-2903
(714) 456-7890
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A124805
CA
Other
Enumeration date
05/23/2011
Last updated
11/14/2018
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