| Doctor Name: | MR. RAY EVERETT SKELTON |
| NPI Number: | 1013034040 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 3616 |
| Business Practice Address: | 6116 E. Arbor Avenue Suite # 112 Mesa, AZ - 852066060 |
| Business Phone Number: | 4806415400 |
| Business Fax Number: | 4802184353 |
| Mailing Address: | 6116 E. Arbor Avenue, Suite # 112 MESA |
| State: | AZ |
| Postal Code: | 852066060 |
| Phone Number: | 4806415400 |
| Fax Number: | 4802184353 |
| NPI Enumeration Date: | 03/23/2007 |
| NPI Last Update Date: | 10/24/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 3616 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |