Individual
TIMOTHY W SKALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11940 BUSINESS BLVD, SUITE #102, EAGLE RIVER, AK 99577-7742
(907) 694-2807
(907) 694-7110
Mailing address
11940 BUSINESS BLVD, SUITE #102, EAGLE RIVER, AK 99577-7742
(907) 694-2807
(907) 694-7110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD 1211
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD 1211
—
AK
Enumeration date
12/27/2006
Last updated
07/08/2007
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