Individual provider · Type 1 NPI
Mark Southard, MD
Diagnostic Radiology Physician · Eau Claire, WI
NPI number
1003868811
Active
Practice location
900 W Clairmont Ave
Eau Claire, WI 54701
Mailing address
2715 West Frank St
Eau Claire, WI 54703
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Body Imaging Physician | 2085B0100X | 45008 (WI) |
| Diagnostic Ultrasound Physician | 2085U0001X | 45008 (WI) |
| Diagnostic Radiology Physician Primary | 2085R0202X | 45008 (WI) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1003868811
Mark Southard, MD's National Provider Identifier is 1003868811, issued on May 17, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Eau Claire, WI. The record was last updated on Jan 5, 2022.