Individual
JOHN G SKEDROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 WOODROW ST, STE. 202, SALT LAKE CITY, UT 84107-5841
(801) 713-0606
(801) 713-0609
Mailing address
5323 WOODROW ST, STE. 202, SALT LAKE CITY, UT 84107-5841
(801) 713-0606
(801) 713-0609
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
350848-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972597730
NPI
UT
Enumeration date
09/08/2005
Last updated
01/29/2010
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