Individual
MRS. STACY LEIGH SKIDMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 STADIUM DRIVE PHYSICIAN OFFICE CENTER, MORGANTOWN, WV 26506-9196
(304) 293-3900
(304) 293-7042
Mailing address
114 PARK PLACE DR, MORGANTOWN, WV 26508-4521
(724) 288-7632
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01048
WV
Other
Enumeration date
05/02/2007
Last updated
11/02/2011
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