| Doctor Name: | GARY OWEN SKINNER |
| NPI Number: | 1275634859 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 692 |
| Business Practice Address: | 18675 East 39th Street Suite M Independence, MO - 640571762 |
| Business Phone Number: | 8167959911 |
| Business Fax Number: | 8167951911 |
| Mailing Address: | 18675 East 39th Street, Suite M INDEPENDENCE |
| State: | MO |
| Postal Code: | 640571762 |
| Phone Number: | 8167959911 |
| Fax Number: | 8167951911 |
| NPI Enumeration Date: | 09/26/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 692 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | HI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |