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NPI Code Detail

MEDICARE: ELIZABETH SKIRM MD

MEDICARE: ELIZABETH SKIRM 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
1207R00000XInternal Medicine Physician38176WA

General Provider Information

NPI Number : 1477521284
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH SKIRM MD
Provider Business Mailing Address
First Line : PO BOX 5127
Second Line :
City : EVERETT
State : WA
Zip : 98206-5127
Country : US
Telephone Number : 425-339-5460
Fax Number :
Provider Business Practice Location Address
First Line : 4410 106TH ST SW
Second Line :
City : MUKILTEO
State : WA
Zip : 98275-4700
Country : US
Telephone Number : 425-388-6001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2006
Last Update Date : 03/15/2013

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