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Edward G. Southwick, M.d., P.c.
Specialist in West Valley City, Utah
NPI 1215287503

Edward G. Southwick, M.d., P.c. is a Specialist based in West Valley City, UT. Edward G. Southwick, M.d., P.c. practices in West Valley City, UT. The NPI Number for Edward G. Southwick, M.d., P.c. is 1215287503 and holds a License No. (Utah).

The current practice location address for Edward G. Southwick, M.d., P.c. is 3465 S 4155 W, West Valley City, UT and can be reached out via phone at 801-966-1403 and via fax at 801-964-6478. You can also correspond with Edward G. Southwick, M.d., P.c. through the mailing address at 3465 S 4155 W, WEST VALLEY CITY, UT - 84120-2076 (mailing address contact number: 801-966-1403).

Location: 3465 S 4155 W, West Valley City, UT, 84120-2076
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215287503
Provider Name
Edward G. Southwick, M.d., P.c.
Credential
Provider Entity Type
Organization
Address
3465 S 4155 W, West Valley City, UT, 84120-2076
Phone Number
801-966-1403
Fax Number
801-964-6478
Provider Enumeration Date
09/13/2012
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
071157009 01 UT RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
3465 S 4155 W
City
West Valley City
State
Utah
Zip
84120-2076
Phone Number
801-966-1403
Fax Number
801-964-6478
person
Provider Business Mailing Address Details
Address
3465 S 4155 W
City
West Valley City
State
Utah
Zip
84120-2076
Phone Number
801-966-1403
Fax Number
801-964-6478
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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