Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SEAN SOUTHLAND, PHD, MDAST, CBIS
Active2472E0500X · TEMPE, AZ
Registration Details
- NPI Number
- 1417472184
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 3, 2017 (8.7180300476335 yrs)
- Last Updated
- Jun 11, 2019
- License
-
18909 (AZ)
Practice Information
- Address
-
1155 W RIO SALADO PKWY STE 101TEMPE, AZ, 852812826Browse AZ providers · Browse ZIP 85281
- Phone
- 4806965796
- Primary Specialty
-
2472E0500X
2472E0500X
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.