Provider Demographics
NPI:1083764765
Name:SKILES, MARGARET SEASE (MD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:SEASE
Last Name:SKILES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1374
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95992-1374
Mailing Address - Country:US
Mailing Address - Phone:530-713-7995
Mailing Address - Fax:530-696-0182
Practice Address - Street 1:PO BOX 1374
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95992-1374
Practice Address - Country:US
Practice Address - Phone:530-751-1071
Practice Address - Fax:530-751-2722
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG077482208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G774820Medicaid
CA00G774820Medicaid
CA00G774820Medicare ID - Type Unspecified