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Individual

DR. MARK J SKELLEY

Active
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Individual

DR. MARK J SKELLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R7C50
MO
207RH0003X
Hematology & Oncology Physician
MDR7C50
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100135900A
KS
05
100175490A
OK
05
201844727
MO
05
201844743
MO
01
25164
BLUE CROSS
MO
Enumeration date
03/02/2006
Last updated
10/19/2016
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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