person
Samuel Lynn Southam, MD
Diagnostic Radiology Physician in Provo, Utah
NPI 1104868850

Samuel Lynn Southam is a Diagnostic Radiology Physician based in Provo, UT and is specialized in Diagnostic Radiology. Samuel Lynn Southam practices in Provo, UT and has the professional credentials of MD. The NPI Number for Samuel Lynn Southam is 1104868850 and holds a License No. 12285899-1205 (Utah).

The current practice location address for Samuel Lynn Southam is 1034 N 500 W, Provo, UT and can be reached out via phone at 801-357-7850 and via fax at 801-357-7626. You can also correspond with Samuel Lynn Southam through the mailing address at 1034 N 500 W, PROVO, UT - 84604-3380 (mailing address contact number: 801-357-7850).

Location: 1034 N 500 W, Provo, UT, 84604-3380
person
Provider Profile Details
NPI Number
1104868850
Provider Name
Samuel Lynn Southam
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1034 N 500 W, Provo, UT, 84604-3380
Phone Number
801-357-7850
Fax Number
801-357-7626
Provider Enumeration Date
06/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
76673855 05 NM
institution
Provider Business Practice Location Address Details
Address
1034 N 500 W
City
State
Zip
84604-3380
Phone Number
801-357-7850
Fax Number
801-357-7626
person
Provider Business Mailing Address Details
Address
1034 N 500 W
City
State
Zip
84604-3380
Phone Number
801-357-7850
Fax Number
801-357-7626
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
12285899-1205 (Utah)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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