Individual
CODY A. SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2635 N 7TH ST, GRAND JUNCTION, CO 81501-8209
(970) 244-2273
Mailing address
1120 WELLINGTON AVE, SUITE 206, GRAND JUNCTION, CO 81501-6131
(970) 243-7245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2005-0106
NM
207L00000X
Anesthesiology Physician
Primary
47127
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14327597
—
CO
05
—
40702081
—
NM
Enumeration date
03/14/2006
Last updated
12/23/2009
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