Soderstrom Dermatology Center S C

  • 1053362343 NPI Number
  • |
  • Actived: 18 years ago
  • |
Soderstrom Dermatology Center S C is a health care provider based in Peoria, IL. The NPI Number is 1053362343 and it has been active since 18 years ago. The specialty is Ambulatory Surgical, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Ambulatory Surgical services, Soderstrom Dermatology Center S C is an excellent option. We are here to help you get the care you need.

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Overview of Soderstrom Dermatology Center S C

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 05/12/2006
  • Last updated: 06/25/2008

Primary Scrop of Practice

  • Taxonomy Code: 261QA1903X
  • Specialty: Ambulatory Surgical
  • License Number: 7001530
  • License State: IL

Provider Mailing Address

  • Address: 4909 N Glen Park Place Rd
    Peoria, IL 61614
  • Phone: 309-690-6012
  • Fax:

Provider Practice Location

  • Address: 4909 N Glen Park Place Rd
    Peoria, IL 61614
  • Phone: 309-690-6012
  • Fax:

Authorized Official

  • Name: Tina M Peugh MBA
  • Position/Title: Executive Director, Soderstrom Derm
  • Telephone Number: 309-674-7546

Scope of Practice

  • Taxonomy Code: 261QA1903X
  • Specialty: Ambulatory Surgical
  • License Number: 7001530
  • License State: IL
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Soderstrom Dermatology Center S C?
  • A: The npi number for Soderstrom Dermatology Center S C is 1053362343.
  • Q: What are Soderstrom Dermatology Center S C's specialties?
  • A: Soderstrom Dermatology Center S C's specialties are Ambulatory Surgical and different specialities.
  • Q: Where is Soderstrom Dermatology Center S C business practice location?
  • A: Soderstrom Dermatology Center S C business practice location is 4909 N Glen Park Place Rd, Peoria, IL 61614.
  • Q: How to contact Soderstrom Dermatology Center S C?
  • A: You can contact Soderstrom Dermatology Center S C via 309-690-6012.
  • Q: What is the authorized official for Soderstrom Dermatology Center S C?
  • A: The authorized office name is Tina M Peugh MBA with position/title is Executive Director, Soderstrom Derm and you can reach the authorized official via phone number 3096747546.
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