Whalio Doctors

NPI 1053496125

Elizabeth a Small, MD

Practitioner Dermatology Physician Springfield, IL

Practice location

Address
1025 S 6th St, Springfield, IL 62703-2403
Phone
(217) 528-7541

Registered specialties

Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 036057816 (IL)

Registry record

NPI
1053496125
Entity type
Individual
Sex (as registered)
Female
NPI issued
26 Oct 2006
Record last updated
20 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.