Organization · Type 2 NPI
Mikel W Skousen Do Ltd
Primary Care Clinic/Center · Mesa, AZ
NPI number
1073803508
Active
Practice location
457 E 4th Pl
Mesa, AZ 85203-7154
Fax (480) 833-5385
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 1213 (AZ) |
Primary Care Clinic/Center: Definition to come...
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About NPI 1073803508
Mikel W Skousen Do Ltd's National Provider Identifier is 1073803508, issued on Apr 18, 2011. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Mesa, AZ. The record was last updated on Sep 9, 2011.