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Individual

PETER ROGER SKAFISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10801 N MICHIGAN RD, ZIONSVILLE, IN 46077-9207
(317) 344-1234
Mailing address
10330 N MERIDIAN ST, SUITE 201, INDIANAPOLIS, IN 46290-1024

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01024818A
IN

Other

Enumeration date
11/23/2005
Last updated
10/23/2007
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