Skidmore, Brett D.

Skidmore, Brett D. is an individual health care provider with primary practice located at 1760 E Pecos Rd Ste 101 , Gilbert AZ 85295-3201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Skidmore, Brett D. can be contacted via phone (480) 553-8999.

Contact Information

Primary practice address
1760 E Pecos Rd Ste 101 Gilbert AZ 85295-3201
Fax: (480) 553-8989
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 20604 Arizona

Profile Details

NPI number 1528048394
LBN Legal business name Skidmore, Brett D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Apr 7th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528048394 NPPES
Arizona MEDICAID 524258

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