DR. EDWARD SOUTHWICK, M.D.

Dermatology

Active Individual
NPI: 1619957156

Practice Address

3465 S 4155 W
SUITE #1
West Valley City, UT 84120

Phone: (801) 966-1403

Specialties

Specialty Code Primary License
Dermatology 207N00000X Yes 156560-1205 (UT)
Dermatology - Dermatopathology 207ND0900X No 156560-1205 (UT)
Dermatology - Procedural Dermatology 207NS0135X No 156560-1205 (UT)

Frequently Asked Questions

NPI 1619957156 is the National Provider Identifier for DR. EDWARD SOUTHWICK, M.D., a Dermatology provider located in West Valley City, UT. This NPI was enumerated on January 19, 2006.
DR. EDWARD SOUTHWICK, M.D. practices at 3465 S 4155 W, SUITE #1, West Valley City, UT 84120.

Quick Facts

NPI
1619957156
Type
Individual
Enumerated
Jan 19, 2006
Last Updated
Aug 14, 2012

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