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Individual

DR. DEMETRIOS GREGORY SKEDROS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1551 RENAISSANCE TOWNE DR, SUITE 310, BOUNTIFUL, UT 84010-7667
(801) 295-5581
(801) 295-9253
Mailing address
2255 N 1700 W, STE 200, LAYTON, UT 84041-1187
(801) 776-2180
(801) 776-2534

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
264339-1205
UT
207Y00000X
Otolaryngology Physician
5387A
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
108797500
WY
Enumeration date
01/08/2007
Last updated
08/18/2016
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