Search › California › 101YM0800X

Samuel Skidmore, MS

NPI 1336990563 · on the registry since 2024 · sole proprietor

Practice

Address
2222 Bancroft Way Spc 4300
Berkeley, CA 94720
Phone
(510) 642-9494
Clinicians at this address
44

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-03-27
Status
Not present in the most recent federal file

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 California