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NPI Code Detail

MEDICARE: GARY SKANKEY LLC

MEDICARE: GARY SKANKEY LLC
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
1207RI0200XInfectious Disease Physician

General Provider Information

NPI Number : 1699456772
Entity Type Code : Organization
Provider Name (Legal Business Name) : GARY SKANKEY LLC
Provider Business Mailing Address
First Line : 7200 CATHEDRAL ROCK DR STE 200
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0430
Country : US
Telephone Number : 702-448-2544
Fax Number :
Provider Business Practice Location Address
First Line : 2931 N TENAYA WAY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0456
Country : US
Telephone Number : 702-448-2544
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. GARY SKANKEY
Credential : MD
Telephone Number : 941-380-0606
Provider Enumeration Date : 07/31/2023
Last Update Date : 07/31/2023

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Directions to “GARY SKANKEY LLC ” Practice Location

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