Individual
DR. RICHARD WILLIAM SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
BRANCH CLINIC MARINE CORPS RECRUIT DEPOT, 35000 GUADALCANAL AVE, SAN DIEGO, CA 92140
(619) 524-5151
Mailing address
4017 MORATALLA TER, SAN DIEGO, CA 92130-2283
(619) 524-5151
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
20A8585
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A8585
STATE LICENCE
CA
Enumeration date
02/03/2006
Last updated
03/07/2023
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