Charles Dobbin Connor in Maryville - Procedural Dermatology
Charles Dobbin Connor - NPI 1992763353
Charles Dobbin Connor is a Procedural Dermatology in Maryville, Illinois. Charles Dobbin Connor practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Charles Dobbin Connor is 1992763353. The last update date is 2007-12-27.
Charles Dobbin Connor's current location address is 22 Professional Park Dr, Maryville, Illinois. You can contact this provider via phone number 6182880998 and fax number 6182889934. The mailing address for Charles Dobbin Connor is 22 Professional Park Dr, Maryville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Dobbin Connor |
|---|---|
| Address | 22 Professional Park Dr, Maryville, Illinois |
| Phone Number | 6182880998 |
| Fax Number | 6182889934 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1992763353 |
|---|---|
| Provider Enumeration Date | 2006-05-03 |
| Last Updated Date | 2007-12-27 |
Provider Mailing Address Detail
| Address | 22 Professional Park Dr |
|---|---|
| City | Maryville |
| State | Illinois (IL) |
| Post Code | 620625669 |
| Phone Number | 6182880998 |
| Fax Number | 6182889934 |
Provider's Primary Taxonomy Detail
| Speciality | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
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Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4233211 | IL | AETNA | |
| 6032047 | IL | BLUE CROSS/BLUE SHIELD | |
| 127279 | IL | GHP | |
| 2119084 | IL | AETNA MANAGED CARE | |
| 5226143 | IL | CCN | |
| 1736541 | IL | FIRST HEALTH | |
| 300073 | IL | UNITEDHEATHCARE | |
| 294801 | IL | HEALTHLINK | |
| 2644579 | IL | CIGNA | |
| G37507 | IL | MERCY |
Post Comment/ Review Below
What is the unique provider identifier assigned to Charles Dobbin Connor?
The Charles Dobbin Connor has been issued the NPI (National Provider Identifier) 1992763353 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Charles Dobbin Connor?
The Charles Dobbin Connor is physically situated at 22 Professional Park Dr, in the city of Maryville, state of IL, with the postal code 620625669.
What is Charles Dobbin Connor's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Charles Dobbin Connor's specialized field of practice is Procedural Dermatology, and the corresponding taxonomy code that categorizes this area of specialization is 207Ns0135X.
When did the Charles Dobbin Connor receive its 1992763353?
The Charles Dobbin Connor was issued its 1992763353 on 2006-05-03, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Charles Dobbin Connor, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Charles Dobbin Connor, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-12-27.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY