Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL LYNN SOUTHAM, MD
ActiveSAMUEL LYNN SOUTHAM, MD is a Diagnostic Radiology healthcare provider located in PROVO, Utah. NPI 1104868850 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · PROVO, UT
Registration Details
- NPI Number
- 1104868850
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 10, 2006 (20.16781862907 yrs)
- Last Updated
- Jun 10, 2021
- Licenses
-
12285899-1205 (UT)2005-0536 (NM)
Practice Information
- Address
-
1034 N 500 WPROVO, UT, 846043380Browse UT providers · Browse ZIP 84604
- Phone
- 8013577850
- Fax
- 8013577626
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
- Additional Specialty
- Diagnostic Radiology
Other Diagnostic Radiology Providers in PROVO, UT
| Name | Credential | NPI |
|---|---|---|
| SCOTT D VALADEZ | M.D. | 1114900206 |
| DR. GARY VAUGHAN HALVERSEN | M.D. | 1487625869 |
| MATTHEW ALLAN MCNAIRY | MD | 1265404834 |
| DR. DAVID R COTTAM | M.D. | 1356309512 |
| TYLER L CRAWFORD | MD | 1629029319 |
| JOSEPH D RASBAND | MD | 1922059542 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.