Individual
BRETT D. SKIDMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1760 E PECOS RD STE 101, GILBERT, AZ 85295-3201
(480) 553-8999
(480) 553-8989
Mailing address
PO BOX 105906, ATLANTA, GA 30348-5906
(480) 553-8999
(480) 553-8989
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20604
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
524258
—
AZ
Enumeration date
01/18/2006
Last updated
04/07/2016
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