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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 IncInferred 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