Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDWARD G SOUTHWICK, M.D.
ActiveDR. EDWARD G SOUTHWICK, M.D. is a Dermatology healthcare provider located in WEST VALLEY CITY, Utah. NPI 1619957156 is currently active in the NPPES registry. Verify at CMS.
Dermatology · WEST VALLEY CITY, UT
Registration Details
- NPI Number
- 1619957156
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 19, 2006 (20.57766660726 yrs)
- Last Updated
- Aug 14, 2012
- Licenses
-
156560-1205 (UT)156560-1205 (UT)156560-1205 (UT)
Practice Information
- Address
-
3465 S 4155 WSUITE #1WEST VALLEY CITY, UT, 841202076Browse UT providers · Browse ZIP 84120
- Phone
- 8019661403
- Fax
- 8019646478
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatopathology
- Additional Specialty
- Procedural Dermatology
Other Dermatology Providers in WEST VALLEY CITY, UT
| Name | Credential | NPI |
|---|---|---|
| NICHOLAS LOWE | — | 1801247630 |
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.