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Stephen Southard, M.D

NPI 1316074776 · on the registry since 2007 · sole proprietor

Practice

Address
1160 Hickory Way
Erie, CO 80516
Phone
(617) 840-8445
Fax
(617) 789-9549

Additional practice sites

  • 1800 Phoenix Blvd Ste 128-12, Atlanta, GA
  • 3065 Brighton 2nd St # 1014, Brooklyn, NY

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
207R00000X
207R00000X
207R00000X
207R00000X
207R00000X
207R00000X
207R00000X
207R00000X
207R00000X
207R00000X
207R00000X
261QM2500X
261QM2500X
261QM2500X
Licence states on file
MA, AL, NV, TN, UT, CA, IN, GA, MO, NC, TX, NY, CT, NJ, CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-08-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado