Elizabeth A Small in Springfield - Dermatology

Elizabeth A Small - NPI 1053496125

Elizabeth A Small is a Dermatology in Springfield, Illinois. Elizabeth A Small practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Elizabeth A Small is 1053496125. The last update date is 2011-07-20.

Elizabeth A Small's current location address is 1025 S 6th St, Springfield, Illinois. You can contact this provider via phone number 2175287541. The mailing address for Elizabeth A Small is 1025 S 6th St, Springfield, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Elizabeth A Small
Address 1025 S 6th St, Springfield, Illinois
Phone Number 2175287541
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1053496125
Provider Enumeration Date 2006-10-26
Last Updated Date 2011-07-20

Provider Mailing Address Detail

Address 1025 S 6th St
City Springfield
State Illinois (IL)
Post Code 627032403
Phone Number 2175287541
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Licence No 36057816
Definition:
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36057816 IL --

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FAQs about Elizabeth A Small

What is the unique 10-digit identifier code assigned to Elizabeth A Small by the Centers for Medicare & Medicaid Services?

The Elizabeth A Small has been issued the NPI (National Provider Identifier) 1053496125 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Elizabeth A Small is geographically located?

The Elizabeth A Small is physically situated at the following location: 1025 S 6Th St, Springfield, IL, 627032403.

What is the Elizabeth A Small's specialty and taxonomy code?

The Elizabeth A Small's specialty is Dermatology, and the corresponding taxonomy code is 207N00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1053496125 to Elizabeth A Small?

The Centers for Medicare & Medicaid Services assigned the 1053496125 to Elizabeth A Small on 2006-10-26.

When was the information pertaining to Elizabeth A Small most recently updated or revised?

The details related to Elizabeth A Small, including its address, specialty, and other relevant information, were last updated or revised on 2011-07-20.

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