Individual
DR. JONAS R. SKARDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DOM
Contact information
Practice address
460 SAINT MICHAELS DR STE 200, SANTA FE, NM 87505-7686
(505) 988-5551
Mailing address
460 SAINT MICHAELS DR STE 200, SANTA FE, NM 87505-7686
(505) 988-5551
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
159RX2
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CS00207711
CONTROLLED SUBSTANCES REG
NM
Enumeration date
02/10/2007
Last updated
03/07/2023
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