Individual
DR. GRAYDON W SKEOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
617 E ALVARADO ST, FALLBROOK, CA 92028
(760) 728-1191
Mailing address
43525 CALLE DE VELARDO, TEMECULA, CA 92592-2628
(818) 509-2222
(818) 761-3458
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G72841
CA
207Q00000X
Family Medicine Physician
G72841
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G728410
—
CA
Enumeration date
04/21/2006
Last updated
07/19/2018
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