Dermatology Care Center, Ltd.

NPI #1619271939 in Maryville, Illinois

Provider Information

NPI Number: 1619271939
Entity Type: Organization
Organization Name: Dermatology Care Center, Ltd.
Primary Specialty: Dermatology
Enumeration Date: Dec 29, 2010
Last Updated: Dec 29, 2010

Practice Location

Address: 22 PROFESSIONAL PARK DR
City: Maryville
State: Illinois
ZIP Code: 62062-5669
Phone: (618) 288-0998

Authorized Official

Name: CHARLES DOBBIN CONNOR, M.D.
Title: PRESIDENT
Phone: (618) 288-0998

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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