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Individual

DAVID M SKOLNICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 638-0300
(307) 638-0394
Mailing address
PO BOX 2417, CHEYENNE, WY 82003-2417
(307) 638-0300
(307) 638-0394

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
7273A
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
121669400
WY
01
313670
BLUE CROSS BLUE SHIELD
WY
Enumeration date
05/26/2006
Last updated
09/09/2015
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