Edward Southwick, M.D

NPI 1619957156 · on the registry since 2006

Practice

Address: 3465 S 4155 W
Suite #1
West Valley City, UT 84120
Phone: (801) 966-1403
Fax: (801) 964-6478
Organisation at this address: Michael F. Pingree Md Pc
Edward G. Southwick, M.D., P.C.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 207N00000X
207N00000X
Also registered as: 207ND0900X
207NS0135X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-08-14

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 Utah