Individual
DR. WARREN SKAUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 S CHURCH ST, STE 400, JONESBORO, AR 72401-4176
(870) 935-6012
(870) 934-3156
Mailing address
800 S CHURCH ST, STE 400, JONESBORO, AR 72401-4176
(870) 935-6012
(870) 934-3156
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C5303
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101781001
—
AR
Enumeration date
04/28/2006
Last updated
10/27/2011
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