Individual
DR. STANLEY DEAN SKAGGS
Active
Individual
DR. STANLEY DEAN SKAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G39245
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004125760
AETNA
—
01
—
00G392450
BLUE SHIELD
CA
05
—
00G392450
—
CA
01
—
3291421
CIGNA
—
01
—
330898160
BLUE CROSS
CA
01
—
330898160 920370000
TRICARE
—
01
—
DN722Z
MEDICARE PTAN
CA
Enumeration date
08/18/2006
Last updated
03/20/2013
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