Organization
RUBY A. SKINNER, MD APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUBY ALICE SKINNER MD (PHYSICIAN/SURGEON)
(312) 753-8072
Entity
Organization
Contact information
Practice address
1100 S HOPE ST APT 1116, LOS ANGELES, CA 90015-2190
(312) 753-8072
Mailing address
1100 S HOPE ST APT 1116, LOS ANGELES, CA 90015-2190
(312) 753-8072
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G81701
CA
2086S0102X
Surgical Critical Care Physician
G81701
CA
2086S0127X
Trauma Surgery Physician
G81701
CA
Other
Enumeration date
07/22/2008
Last updated
07/23/2008
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