Local City Search for Surgeons and Surgical Clinics DR. THEODORE D. FIFER M.D. FACS
Surgery Yellow Pages
Effingham, Illinois
Provider NPI: 1508034596
Provider Information:DR. THEODORE D. FIFER M.D. FACS
Practice Location:
14900 N COURT 9 EFFINGHAM, IL 62401 US
Tel: 217-994-6162 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 2082S0105X | Physicians Plastic Surgery Surgery of the Hand | IL | 036084136 |
| Y | 2086S0122X | Physicians Surgery | IL | 036084136 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BLUE CROSS | 025-00076 | IL | 01 |
| 036-084136 | IL | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
