Mark Southard in Eau Claire - Body Imaging

Mark Southard - NPI 1003868811

Mark Southard is a Body Imaging in Eau Claire, Wisconsin. Mark Southard practices all healthcare services and medical treatments related to Body Imaging. The NPI Number for Mark Southard is 1003868811. The last update date is 2022-01-05.

Mark Southard's current location address is 900 W Clairmont Ave, Eau Claire, Wisconsin. You can contact this provider via phone number 7158394151. The mailing address for Mark Southard is 900 W Clairmont Ave, Eau Claire, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Southard
Address 900 W Clairmont Ave, Eau Claire, Wisconsin
Phone Number 7158394151
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1003868811
Provider Enumeration Date 2006-05-17
Last Updated Date 2022-01-05

Provider Mailing Address Detail

Address 900 W Clairmont Ave
City Eau Claire
State Wisconsin (WI)
Post Code 547010
Phone Number 7158394151
Fax Number

Provider's Primary Taxonomy Detail

Speciality Body Imaging
Taxonomy 2085B0100X
Licence No 45008
Definition:
A Radiology doctor of Osteopathy that specializes in Body Imaging.

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FAQs about Mark Southard

What is the Mark Southard's unique identification number?

The Mark Southard has been assigned the NPI (National Provider Identifier) Number 1003868811 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Mark Southard's facilities are geographically located?

The facilities of Mark Southard are physically situated at the following location: 900 W Clairmont Ave, Eau Claire, WI, 547010.

What is Mark Southard's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Mark Southard is Body Imaging, and the taxonomy code that classifies this field of practice is 2085B0100X.

On what date did the Centers for Medicare & Medicaid Services issue the 1003868811 to Mark Southard?

The Mark Southard received its 1003868811 assignment from the Centers for Medicare & Medicaid Services on 2006-05-17.

As of what date were the details related to Mark Southard most recently updated or revised?

The information pertaining to Mark Southard, including its address, specialty, and other relevant details, was last updated or revised on 2022-01-05.

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