Bruce A Mclelland is a Dermatology in Peoria, Illinois. Bruce A Mclelland practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Bruce A Mclelland is 1689762189. The last update date is 2014-04-15.
Bruce A Mclelland's current location address is 5401 N Knoxville Ave Ste 115, Peoria, Illinois. You can contact this provider via phone number 3096912903 and fax number 3096912909. The mailing address for Bruce A Mclelland is 5401 N Knoxville Ave Ste 115, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce A Mclelland |
|---|---|
| Address | 5401 N Knoxville Ave Ste 115, Peoria, Illinois |
| Phone Number | 3096912903 |
| Fax Number | 3096912909 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1689762189 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2014-04-15 |
Provider Mailing Address Detail
| Address | 5401 N Knoxville Ave Ste 115 |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616145068 |
| Phone Number | 3096912903 |
| Fax Number | 3096912909 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 36056311 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36056311 | IL | -- | |
| P05833 | IL | PTAN |
Post Comment/ Review Below
What is the Bruce A Mclelland's unique identification number?
The Bruce A Mclelland has been assigned the NPI (National Provider Identifier) Number 1689762189 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Bruce A Mclelland's facilities are geographically located?
The facilities of Bruce A Mclelland are physically situated at the following location: 5401 N Knoxville Ave Ste 115, Peoria, IL, 616145068.
What is Bruce A Mclelland's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Bruce A Mclelland is Dermatology, and the taxonomy code that classifies this field of practice is 207N00000X.
On what date did the Bruce A Mclelland receive its 1689762189 assignment from the Centers for Medicare & Medicaid Services?
The Bruce A Mclelland was assigned its 1689762189 by the Centers for Medicare & Medicaid Services on 2006-10-10.
As of what date was the information regarding Bruce A Mclelland, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bruce A Mclelland, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-04-15.