Healthcare Provider Details

I. General information

NPI: 1972504165
Provider Name (Legal Business Name): DAVID PETER SKONER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 04/15/2022
Certification Date: 04/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 E NORTH AVE AGH KIDS ALLERGY & ASTHMA
PITTSBURGH PA
15212-4756
US

IV. Provider business mailing address

320 E NORTH AVE AGH KIDS ALLERGY & ASTHMA
PITTSBURGH PA
15212-4756
US

V. Phone/Fax

Practice location:
  • Phone: 412-359-6640
  • Fax: 412-359-6641
Mailing address:
  • Phone: 412-359-3751
  • Fax: 412-359-8439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0201X
TaxonomyPediatric Allergy/Immunology Physician
License NumberMD029155E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: