MIKEL W SKOUSEN DO LTD
Ambulatory Health at 4 Pl, Mesa, AZ

License number
Arizona 1213
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. MIKEL WILLARD SKOUSEN D.O.
Title: PHYSICIAN
Phone: (480) 833-5383
Address
Address
457 E 4Th Pl, Mesa, AZ 85203
National Provider ID: 1073803508
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MIKEL W SKOUSEN DO LTD at bizstanding.com

MIKEL W. SKOUSEN, D.O., LTD

457 E 4 Pl, Mesa, AZ 85203

Status:
Inactive
Inactive reason:
Ad-dissolved-file annual report
Registration:
Nov 19, 1971
Inactive since:
Jul 12, 2010
State ID:
-0085064-0
Expiration:
PERPETUAL
President/ceo:
Mikel W Skousen (President/ceo), 3124 E Inverness, Mesa, AZ 85204 (Physical)
Agent:
Steven C Skousen,17918 E Caroline Ln, Higley, AZ 85236 (Physical)
Business type:
HEALTH CARE

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