Stephen Skulsky Ph D PC

NPI #1710263272 in Omaha, Nebraska

Provider Information

NPI Number: 1710263272
Entity Type: Organization
Organization Name: Stephen Skulsky Ph D PC
Primary Specialty: Specialist
Enumeration Date: Oct 28, 2011
Last Updated: Oct 28, 2011

Practice Location

Address: 3239 N 159TH AVE
City: Omaha
State: Nebraska
ZIP Code: 68116-2454
Phone: (402) 496-9077

Authorized Official

Name: STEPHEN MARK SKULSKY, PH D
Title: OWNER
Phone: (402) 496-9077

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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