Individual
DR. PHILIP SKOVIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1285 SOM CENTER RD, MAYFIELD HTS, OH 44124
(440) 995-9933
Mailing address
6513 GATES MILLS BLVD, MAYFIELD HTS, OH 44124
(440) 442-5745
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3375 T 653
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0380574
—
OH
Enumeration date
03/19/2007
Last updated
07/08/2007
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