Soderstrom Dermatology Center S C Valid NPI

Organization · Ambulatory Surgical Clinic/Center · Peoria, IL

NPI

1053362343

Type

Organization (Type 2)

Primary specialty

Ambulatory Surgical Clinic/Center (Clinic/Center)

Specialty group

Ambulatory Health Care Facilities

Taxonomy code

261QA1903X

License number

7001530 (IL)

Enumerated

2006-05-12

Last updated

2008-06-25