Individual
SKULI TOMAS GUNNLAUGSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5170 US RT 60 EAST, HUNTINGTON, WV 25705
(304) 697-6000
(304) 399-2280
Mailing address
5170 US RT 60 EAST, HUNTINGTON, WV 25705
(304) 697-6000
(304) 399-2280
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
21974
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2590405
—
OH
05
—
3810002986
—
WV
05
—
64102767
—
KY
01
—
P00237358
RAILROAD MEDICARE
—
Enumeration date
06/06/2006
Last updated
12/09/2010
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