Soderstrom Dermatology Center S C
NPI #1053362343 in Peoria, Illinois
Provider Information
- NPI Number
- 1053362343
- Entity Type
- Organization
- Organization Name
- Soderstrom Dermatology Center S C
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SODERSTROM DERMATOLOGY CENTER S C
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- May 12, 2006
- Last Updated
- Jun 25, 2008
Practice Location
Authorized Official
- Name
- TINA M PEUGH, MBA
- Title
- EXECUTIVE DIRECTOR, SODERSTROM DERM
- Phone
- (309) 674-7546
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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