GARY OWEN SKINNER

INDEPENDENCE, MO
NPI1275634859
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208D00000X General Practice
(Licence: MO  R5996)
Additional Taxonomies208D00000X General Practice
(Licence: HI  692)
208D00000X General Practice
(Licence: KS  0516202)
Enumeration Date2006-09-26
Last Update Date2007-07-08
Business Address
-- GARY OWEN SKINNER DO
18675 EAST 39TH STREET SUITE M
INDEPENDENCE, MO 64057-1762
Phone number: 816-795-9911
Mailing Address
-- GARY OWEN SKINNER DO
18675 EAST 39TH STREET SUITE M
INDEPENDENCE, MO 64057-1762
Phone number: 816-795-9911
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