Organization
STEPHEN SKULSKY PH D PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN MARK SKULSKY PH D (OWNER)
(402) 496-9077
Entity
Organization
Contact information
Practice address
3239 N 159TH AVE, OMAHA, NE 68116-2454
(402) 496-9077
(402) 496-9077
Mailing address
3239 N 159TH AVE, OMAHA, NE 68116-2454
(402) 496-9077
(402) 496-9077
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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