SODERSTROM DERMATOLOGY CENTER S C

Clinic/Center - Ambulatory Surgical

Active Organization
NPI: 1053362343

Practice Address

4909 N GLEN PARK PLACE RD
Peoria, IL 61614

Phone: (309) 690-6012

Specialties

Specialty Code Primary License
Clinic/Center - Ambulatory Surgical 261QA1903X Yes 7001530 (IL)

Frequently Asked Questions

NPI 1053362343 is the National Provider Identifier for SODERSTROM DERMATOLOGY CENTER S C, a Clinic/Center - Ambulatory Surgical provider located in Peoria, IL. This NPI was enumerated on May 12, 2006.

Quick Facts

NPI
1053362343
Type
Organization
Enumerated
May 12, 2006
Last Updated
Jun 25, 2008

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