Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mikel W Skousen DO Ltd

Organization Primary Care Clinic/Center · NPI 1073803508

Mikel W Skousen DO Ltd is a Primary Care Clinic/Center in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2011.

Licensed in
AZ
In the registry since
2011
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

457 E 4th Pl
Mesa, AZ 85203-7154
Phone: (480) 833-5383
Fax: (480) 833-5385
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 1213 (AZ)

Record details

NPI number1073803508
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mikel Skousen — Physician · (480) 833-5383
NPI enumeratedApril 18, 2011
Last updated in NPPESSeptember 9, 2011
Mailing address457 E 4th Pl, Mesa, AZ 85203-7154

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