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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CHARLES C SOUTHERLAND, DPM

Active

DR. CHARLES C SOUTHERLAND, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in EAGLE MOUNTAIN, Utah. NPI 1306832944 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery Podiatrist · EAGLE MOUNTAIN, UT

Registration Details

NPI Number
1306832944
Provider Type
Individual
Gender
Male
NPI Issued
Sep 20, 2005 (20.940335721806 yrs)
Last Updated
Apr 24, 2020
License
9244891-0501 (UT)

Practice Information

Address
3435 E PONY EXPRESS PKWY STE 140
EAGLE MOUNTAIN, UT, 840055548
Browse UT providers · Browse ZIP 84005
Phone
8018938811
Primary Specialty
Foot & Ankle Surgery Podiatrist
213ES0103X

Other Foot & Ankle Surgery Podiatrist Providers in EAGLE MOUNTAIN, UT

Name Credential NPI
DR. DEVIN TRANTER D.P.M. 1528409513
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.