Associated Dermatologists Ltd.

NPI #1184761066 in Springfield, Illinois

Provider Information

NPI Number
1184761066
Entity Type
Organization
Organization Name
Associated Dermatologists Ltd.
Primary Specialty
Dermatology
Enumeration Date
Jan 31, 2007
Last Updated
Feb 7, 2008

Practice Location

Address
2951 MONTVALE DR
Address 2
SUITE B
ZIP Code
62704-5341
Phone
(217) 726-6429

Authorized Official

Name
DR. LARRY M. NEWELL, M.D.
Title
PRESIDENT
Phone
(217) 726-6429

Specialties & Taxonomy Codes

Specialty
Dermatology

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