Organization
DERMCARE & HEALTHCARE CLINIC, LLC
Active
Other names
Dermatology and Medical Clinic, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY DAWN ARNOLD NP-C (OWNER, NP-C)
(618) 918-2566
Entity
Organization
Contact information
Practice address
1007 M L KING DR STE 1, CENTRALIA, IL 62801-3009
(618) 918-2566
(618) 918-2565
Mailing address
1007 M L KING DR STE 1, CENTRALIA, IL 62801-3009
(618) 918-2566
(618) 918-2565
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209009665
IL
Other
Enumeration date
06/07/2018
Last updated
01/22/2020
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