Edward G. Southwick, M.D., P.C.

LBN: Edward G. Southwick, M.D., P.C.
Edward G. Southwick, M.D., P.C. is an health care organization with primary practice located at 3465 S 4155 W Suite 1, West Valley City UT 84120-2076. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Edward G. Southwick, M.D., P.C. can be contacted via phone (801) 966-1403, or through Southwick, Edward Glen via phone (801) 966-1403.

Contact Information

Primary practice address
3465 S 4155 W Suite 1 West Valley City UT 84120-2076
Phone: (801) 966-1403
Fax: (801) 964-6478
Website:
Map and Directions
Authorized official contact:
Name: Southwick, Edward Glen Doctor of Medicine (MD)
Phone: (801) 966-1403

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1215287503
LBN Legal business name Edward G. Southwick, M.D., P.C.
DBA Doing business as
Authorized official Southwick, Edward Glen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2012
Last updated Sep 13th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215287503 NPPES
Utah Other 071157009 RAILROAD MEDICARE

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