Edward G. Southwick, M.d., P.c.
NPI #1215287503 in West Valley City, Utah
Provider Information
- NPI Number
- 1215287503
- Entity Type
- Organization
- Organization Name
- Edward G. Southwick, M.d., P.c.
- Primary Specialty
- Specialist
- Enumeration Date
- Sep 13, 2012
- Last Updated
- Sep 13, 2012
Practice Location
- Address
- 3465 S 4155 W
- Address 2
- SUITE 1
- City
- West Valley City
- State
- Utah
- ZIP Code
- 84120-2076
- Phone
- (801) 966-1403
Authorized Official
- Name
- DR. EDWARD GLEN SOUTHWICK, M.D.
- Title
- PRESIDENT
- Phone
- (801) 966-1403
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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