Timothy W Skala, D.O.
Family Medicine in Eagle River, AK. Individual provider (NPI-1).
NPI number1770648776
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1770648776
- Entity type
- Individual (NPI-1)
- Name
- Timothy W Skala
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 27, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD 1211 | AK | Yes |
Practice location
11940 Business BlvdSuite #102
Eagle River, AK 99577-7742
Phone 907-694-2807 · Fax 907-694-7110
Mailing address
11940 Business BlvdSuite #102
Eagle River, AK 99577-7742
Phone 907-694-2807 · Fax 907-694-7110
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