Elizabeth A Small MD

NPI 1053496125 - Dermatology - 207N00000X

NPI Details
NPI 1053496125
Gender Female
Enumeration Date 10/26/2006
Last Updated 07/20/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
1025 S 6TH ST
SPRINGFIELD IL, 62703-2403, US
Phone (217) 528-7541
Fax
Business Location
1025 S 6TH ST
SPRINGFIELD IL, 62703-2403, US
Phone (217) 528-7541
Fax
Toxanomy
Taxonomy Code 207N00000X
License State Illinois
License Number 036057816
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According to our database, Elizabeth A Small MD NPI is 1053496125, taxonomy code is 207N00000X and license number is 036057816, license state is located at Illinois. Elizabeth A Small MD physically located at 1025 S 6th St, Springfield IL, 62703-2403. NPI Number Elizabeth A Small MD has the Individual type.

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1053496125 NPI number is provided on an as is basis without warranty of any kind. 1053496125 is maintained by the National Plan & Provider Enumeration System. The contents of Elizabeth A Small MD are for informational purposes only.