Individual
STEVEN CERVI-SKINNER
Active
Individual
STEVEN CERVI-SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26268
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274895
—
OR
05
—
42584405
—
AZ
01
—
77130
BCBS-NAMPA
ID
01
—
838334004
BCBS-ROSEBURG
OR
01
—
858463008
BCBS-MEDFORD
OR
01
—
858464002
BCBS-SPRINGFIELD
OR
01
—
B6148
BCBS-CALDWELL
ID
01
—
P00177938
RR MEDICARE
OR
01
—
R130958
MEDICARE-TYPE UNSPECIFIED
OR
Enumeration date
03/28/2006
Last updated
05/13/2008
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