Soderstrom Dermatology Center S C in Peoria - Dermatopathology
Soderstrom Dermatology Center S C - NPI 1710931670
Soderstrom Dermatology Center S C is a Dermatopathology in Peoria, Illinois. Soderstrom Dermatology Center S C practices all healthcare services and medical treatments related to Dermatopathology. The NPI Number for Soderstrom Dermatology Center S C is 1710931670. The last update date is 2008-04-08.
Soderstrom Dermatology Center S C's current location address is 4909 N Glen Park Place Rd, Peoria, Illinois. You can contact this provider via phone number 3096747546. The mailing address for Soderstrom Dermatology Center S C is 4909 N Glen Park Place Rd, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Soderstrom Dermatology Center S C |
|---|---|
| Address | 4909 N Glen Park Place Rd, Peoria, Illinois |
| Phone Number | 3096747546 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Peugh M Christina |
| Credentials | MBA |
| Telephone Number | 3096747546 |
NPI Number Detail
| NPI Number | 1710931670 |
|---|---|
| Provider Enumeration Date | 2006-05-22 |
| Last Updated Date | 2008-04-08 |
Provider Mailing Address Detail
| Address | 4909 N Glen Park Place Rd |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616144676 |
| Phone Number | 3096747546 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dermatopathology |
|---|---|
| Taxonomy | 207Zd0900X |
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Definition: A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellu |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Soderstrom Dermatology Center S C by the Centers for Medicare & Medicaid Services?
The Soderstrom Dermatology Center S C has been issued the NPI (National Provider Identifier) 1710931670, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Soderstrom Dermatology Center S C?
The Soderstrom Dermatology Center S C is physically situated at 4909 N Glen Park Place Rd, in the city of Peoria, state of IL, with the postal code 616144676.
What is the area of specialization for Soderstrom Dermatology Center S C, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Soderstrom Dermatology Center S C is Dermatopathology, and the corresponding taxonomy code that categorizes this area of expertise is 207Zd0900X.
When was the Soderstrom Dermatology Center S C's 1710931670 issued?
The Soderstrom Dermatology Center S C's 1710931670 was issued on 2006-05-22.
As of what date was the information regarding Soderstrom Dermatology Center S C, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Soderstrom Dermatology Center S C, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-04-08.