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Dr. Charles C Southerland

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NPI Number Detailed Information

Provider Information:

Name: Dr. Charles C Southerland
Gender: M
Provider License Number If Given: 9244891-0501

NPI Information:

NPI: 1306832944
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/20/2005

Last Update Date: 4/24/2020

Provider Business Mailing Address:

Address: 11300 NE 2ND AVENUE
Miami Shores, FL 33161
Phone Number: 3056937287
Fax Number: 3056949616

Provider Business Practice Location Address:

Address: 3435 E PONY EXPRESS PKWY STE 140
Eagle Mountain, UT 84005
Phone Number: 8018938811
Fax Number:

Provider Taxonomy:

Primary: 213ES0103X
Secondary (if any):
State: UT

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About Dr. Charles C Southerland

Dr. Charles C Southerland (DR. CHARLES C SOUTHERLAND ) is Definition Podiatrist Physician in Eagle Mountain, UT. The NPI Number for Dr. Charles C Southerland is 1306832944.
The current location address for Dr. Charles C Southerland is 3435 E PONY EXPRESS PKWY STE 140 Eagle Mountain, UT 84005 and the contact number is 3056937287 and fax number is 3056949616. The mailing address for Dr. Charles C Southerland is 11300 NE 2ND AVENUE Miami Shores, FL 33161- 8018938811 (mailing address contact number - 3056937287).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Charles C Southerland ?


Answer: The NPI Number for Dr. Charles C Southerland is 1306832944

Where is Dr. Charles C Southerland located?


Answer: Dr. Charles C Southerland is located at 3435 E PONY EXPRESS PKWY STE 140 Eagle Mountain, UT 84005.

What is the specialty for Dr. Charles C Southerland ?


Answer: The Specialty of Dr. Charles C Southerland is Definition Podiatrist Physician.

Are there any online reviews for Dr. Charles C Southerland ?


Answer: Not yet!

Are there any other health care providers in Eagle Mountain, UT?


Answer: Yes, there are given below...

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