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Contact Information

EDWARD G. SOUTHWICK, M.D., P.C.
3465 S 4155 W
SUITE 1
WEST VALLEY CITY, UT84120-2076
 Phone: 801-966-1403
 Fax: 801-964-6478
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for EDWARD G. SOUTHWICK, M.D., P.C.

NPI # 1215287503
LBN Legal business name EDWARD G. SOUTHWICK, M.D., P.C.
Authorized official EDWARD SOUTHWICK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/13/2012
Last updated 09/13/2012 - About 14 years ago
Identifiers
UT Other 071157009 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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