Skinner, Daniel Peterson

Skinner, Daniel Peterson is an individual health care provider with primary practice located at 2050 W Southern Ave Ste 102 , Mesa AZ 85202-4702. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Skinner, Daniel Peterson can be contacted via phone (480) 835-5532.

Contact Information

Primary practice address
2050 W Southern Ave Ste 102 Mesa AZ 85202-4702
Phone: (480) 835-5532
Fax: (480) 962-0106
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 2010010429 Missouri
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 48691 Arizona
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 32259 Alabama
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R71509 Arizona
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 48691 Arizona

Profile Details

NPI number 1083841225
LBN Legal business name Skinner, Daniel Peterson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2009
Last updated Oct 5th, 2020 - about 6 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 1083841225 NPPES
Alabama Other 511-37085 BLUE

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