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NPI Code Detail

MEDICARE: DAVID J SKELLEY PA-C

MEDICARE: DAVID J SKELLEY PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantMA002667LPA

General Provider Information

NPI Number : 1134188550
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID J SKELLEY PA-C
Provider Business Mailing Address
First Line : 136 REIGHARD LN
Second Line :
City : ALTOONA
State : PA
Zip : 16601-9794
Country : US
Telephone Number : 814-942-3884
Fax Number :
Provider Business Practice Location Address
First Line : 2907 PLEASANT VALLEY BLVD
Second Line :
City : ALTOONA
State : PA
Zip : 16602-4305
Country : US
Telephone Number : 814-943-8164
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2006
Last Update Date : 07/08/2007

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Directions to “ DAVID J SKELLEY PA-C” Practice Location

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