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Individual

PAUL A SKOPEC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1200 1ST AVE E, BOX 71, SPENCER, IA 51301-4342
(712) 262-7511
Mailing address
1200 1ST AVE E, P O BOX 71, SPENCER, IA 51301-4342
(712) 262-7511

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
28551
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
43439
BCBS OF IOWA
05
7096289
IA
Enumeration date
03/27/2006
Last updated
12/03/2008
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