Organization
THE FIFER CENTER FOR PLASTIC SURGERY LTD
Active
Other names
The Fifer Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE FIFER MD FACS (OWNER)
(217) 342-7090
Entity
Organization
Contact information
Practice address
1104 W EVERGREEN AVE, EFFINGHAM, IL 62401-1710
(217) 342-7090
(217) 342-7094
Mailing address
1104 W EVERGREEN AVE, SUITE A, EFFINGHAM, IL 62401-1710
(217) 342-7090
(217) 342-7094
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025-00076
BCBS
IL
Enumeration date
09/20/2006
Last updated
08/22/2020
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