Individual
SKYLAR BROOKE WIMBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 COUNTRY RIDGE LN, ELKLAND, MO 65644-7304
(417) 733-3208
Mailing address
25 COUNTRY RIDGE LN, ELKLAND, MO 65644-7304
(417) 733-3208
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
11441
AZ
363AM0700X
Medical Physician Assistant
Primary
2024009559
MO
Other
Enumeration date
03/19/2024
Last updated
06/03/2026
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