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NPI Code Detail

MEDICARE: ROBERT GORDON SKWERER MD

MEDICARE: ROBERT GORDON SKWERER 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
12084P0800XPsychiatry Physician35-051448OH
22084P0800XPsychiatry PhysicianD0035081MD
32084P0800XPsychiatry Physician9900134NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184683799
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT GORDON SKWERER MD
Provider Business Mailing Address
First Line : 8304 CREEDMOOR RD
Second Line :
City : RALEIGH
State : NC
Zip : 27613-1697
Country : US
Telephone Number : 919-870-8409
Fax Number : 877-622-8953
Provider Business Practice Location Address
First Line : 8304 CREEDMOOR RD
Second Line :
City : RALEIGH
State : NC
Zip : 27613-1697
Country : US
Telephone Number : 919-870-8409
Fax Number : 877-622-8953
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2006
Last Update Date : 11/07/2024

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