Search › Idaho › 207Q00000X
Jennifer Southard, M.D
NPI 1023216538 · on the registry since 2007
Practice
- Address
- 6533 Emerald Street
Boise, ID 83704 - Phone
- (208) 302-5100
- Fax
- (208) 302-5155
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
- Licence states on file
- NM, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-11-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho