Individual
PAUL O SKOUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1055 S STAPLEY DR, MESA, AZ 85204
(480) 833-9100
(480) 833-6000
Mailing address
2610 E UNIVERSITY DR, MESA, AZ 85213-8436
(480) 892-8400
(480) 892-9533
Taxonomy
Speciality
Code
Description
License number
State
163WX1100X
Ophthalmic Registered Nurse
053540
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0261
AZ
Other
Enumeration date
02/02/2006
Last updated
05/15/2018
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