DR. Charles C Southerland, DPM
NPI #1306832944 in Eagle Mountain, Utah
Provider Information
- NPI Number
- 1306832944
- Entity Type
- Individual
- Name
- DR. Charles C Southerland, DPM
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Podiatrist - Foot & Ankle Surgery
- Credential
- DPM
- Enumeration Date
- Sep 20, 2005
- Last Updated
- Apr 24, 2020
Practice Location
- Address
- 3435 E PONY EXPRESS PKWY STE 140
- City
- Eagle Mountain
- State
- Utah
- ZIP Code
- 84005-5548
- Phone
- (801) 893-8811
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery |
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|---|---|
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