Provider Demographics
NPI:1154397321
Name:SKEOCH, DANIEL U (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:U
Last Name:SKEOCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 942895
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:94295-0001
Mailing Address - Country:US
Mailing Address - Phone:916-653-0080
Mailing Address - Fax:916-653-1795
Practice Address - Street 1:660 SANITARIUM RD
Practice Address - Street 2:SUITE 204
Practice Address - City:DEER PARK
Practice Address - State:CA
Practice Address - Zip Code:94576-9714
Practice Address - Country:US
Practice Address - Phone:707-963-5257
Practice Address - Fax:707-963-3958
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-27
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG30242207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA44344Medicare UPIN