SearchIdaho183500000X

Brandon Skoumal

NPI 1134614373 · on the registry since 2018

Practice

Address
235 S 4th Ave
Pocatello, ID 83201
Phone
(208) 233-3341
Organisation at this address
Shaver Holdings Inc
Shaver Holdings Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-06-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho