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Search › Utah › 213ES0103X

Charles Southerland, DPM

NPI 1306832944 · on the registry since 2005

Practice

Address
3435 E Pony Express Pkwy Ste 140
Eagle Mountain, UT 84005
Phone
(801) 893-8811
Organisation at this address
Rb Dmd Pllc
Pioneer Drug Llc
Utah Podiatry Group Llc
Cedar Valley Health Pllc
Cedar Valley Family & Foot Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
28

Additional practice sites

  • 1973 N State St, Provo, UT
  • 8822 S Redwood Rd Ste E121, West Jordan, UT

Registry record

Primary taxonomy
213ES0103X
213ES0103X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-04-24

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 Utah