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NPI Code Detail

MEDICARE: HUNTER SKOOG MD

MEDICARE: HUNTER SKOOG MD
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
1390200000XStudent in an Organized Health Care Education/Training ProgramAL
2207Y00000XOtolaryngology PhysicianU3655TX

General Provider Information

NPI Number : 1184120495
Entity Type Code : Individual
Provider Name (Legal Business Name) : HUNTER SKOOG MD
Provider Business Mailing Address
First Line : 912 WALNUT HILL DR
Second Line :
City : LONGVIEW
State : TX
Zip : 75605-5052
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 912 WALNUT HILL DR
Second Line :
City : LONGVIEW
State : TX
Zip : 75605-5052
Country : US
Telephone Number : 903-291-6300
Fax Number : 903-291-6305
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2018
Last Update Date : 07/14/2023

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Directions to “ HUNTER SKOOG MD” Practice Location

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