DR. CHARLES SOUTHERLAND, DPM

Podiatrist - Foot & Ankle Surgery

Active Individual
NPI: 1306832944

Practice Address

3435 E PONY EXPRESS PKWY STE 140
Eagle Mountain, UT 84005

Phone: (801) 893-8811

Specialties

Specialty Code Primary License
Podiatrist - Foot & Ankle Surgery 213ES0103X Yes 9244891-0501 (UT)

Frequently Asked Questions

NPI 1306832944 is the National Provider Identifier for DR. CHARLES SOUTHERLAND, DPM, a Podiatrist - Foot & Ankle Surgery provider located in Eagle Mountain, UT. This NPI was enumerated on September 20, 2005.
DR. CHARLES SOUTHERLAND, DPM practices at 3435 E PONY EXPRESS PKWY STE 140, Eagle Mountain, UT 84005.

Quick Facts

NPI
1306832944
Type
Individual
Enumerated
Sep 20, 2005
Last Updated
Apr 24, 2020

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