Skedros, Demetrios Gregory

Skedros, Demetrios Gregory is an individual health care provider with primary practice located at 1551 Renaissance Towne Dr Suite 310, Bountiful UT 84010-7667. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Skedros, Demetrios Gregory can be contacted via phone (801) 295-5581.

Contact Information

Primary practice address
1551 Renaissance Towne Dr Suite 310 Bountiful UT 84010-7667
Phone: (801) 295-5581
Fax: (801) 295-9253
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 264339-1205 Utah
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 5387A Wyoming

Profile Details

NPI number 1821146242
LBN Legal business name Skedros, Demetrios Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Aug 18th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821146242 NPPES
Wyoming MEDICAID 108797500

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