Individual
DR. BRUCE MARTIN SKILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA DC
Contact information
Practice address
537 S FREEBORN ST, MARION, KS 66861-1256
(620) 382-3711
(620) 382-9104
Mailing address
537 S FREEBORN ST, MARION, KS 66861-1256
(620) 382-3711
(620) 382-9104
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4092
KS
367500000X
Certified Registered Nurse Anesthetist
1339715052RN
KS
367500000X
Certified Registered Nurse Anesthetist
54167CRNA
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100248650E
—
KS
01
—
145047
BCBS
KS
Enumeration date
08/01/2006
Last updated
09/03/2008
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