Edward G Southwick in West Valley City - Procedural Dermatology
Edward G Southwick - NPI 1619957156
Edward G Southwick is a Procedural Dermatology in West Valley City, Utah. Edward G Southwick practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Edward G Southwick is 1619957156. The last update date is 2012-08-14.
Edward G Southwick's current location address is 3465 South 4155 West, West Valley City, Utah. You can contact this provider via phone number 8019661403 and fax number 8019646478. The mailing address for Edward G Southwick is 3465 South 4155 West, West Valley City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward G Southwick |
|---|---|
| Address | 3465 South 4155 West, West Valley City, Utah |
| Phone Number | 8019661403 |
| Fax Number | 8019646478 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1619957156 |
|---|---|
| Provider Enumeration Date | 2006-01-19 |
| Last Updated Date | 2012-08-14 |
Provider Mailing Address Detail
| Address | 3465 South 4155 West |
|---|---|
| City | West Valley City |
| State | Utah (UT) |
| Post Code | 841202077 |
| Phone Number | 8019661403 |
| Fax Number | 8019646478 |
Provider's Primary Taxonomy Detail
| Speciality | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
| Licence No | 156560-1205 |
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Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 71157009 | UT | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Edward G Southwick by the Centers for Medicare & Medicaid Services?
The Edward G Southwick has been assigned the NPI (National Provider Identifier) 1619957156 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Edward G Southwick?
The Edward G Southwick is physically situated at 3465 South 4155 West, in the city of West Valley City, state of UT, with the postal code 841202077.
What is Edward G Southwick's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Edward G Southwick is Procedural Dermatology, and the corresponding taxonomy classification code for this specialized field is 207Ns0135X.
On what date did the Centers for Medicare & Medicaid Services issue the 1619957156 to Edward G Southwick?
The Edward G Southwick received its 1619957156 assignment from the Centers for Medicare & Medicaid Services on 2006-01-19.
As of what date was the information regarding Edward G Southwick, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Edward G Southwick, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-08-14.