Individual provider · Type 1 NPI
Charles C. Southerland, DPM
Foot & Ankle Surgery Podiatrist · Eagle Mountain, UT
NPI number
1306832944
Active
Practice location
3435 E Pony Express Pkwy Ste 140
Eagle Mountain, UT 84005-5548
Mailing address
11300 NE 2nd Avenue
Miami Shores, FL 33161
Other practice locations
- 1973 N State St, Provo, UT 84604-1012 · (801) 373-2499
- 8822 S Redwood Rd Ste E121, West Jordan, UT 84088-5763 · (801) 285-7060
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 9244891-0501 (UT) |
Foot & Ankle Surgery Podiatrist: Definition to come...
7 other providers at this address
- Cedar Valley Family & Foot LLCFoot Surgery Podiatrist Eagle Mountain, UT NPI 1649902461
- Cedar Valley Health PLLCPrimary Care Clinic/Center Eagle Mountain, UT NPI 1336005842
- Utah Podiatric Physicians and Surgeons Group LLCClinic/Center Eagle Mountain, UT NPI 1558142471
- Utah Podiatry Group LLCFoot & Ankle Surgery Podiatrist Eagle Mountain, UT NPI 1962331520
- Brooke LudwigPrimary Care Nurse Practitioner Eagle Mountain, UT NPI 1134750110
- Crystal Caldwell, FNP-CFamily Nurse Practitioner Eagle Mountain, UT NPI 1871306621
- Mayra Yvette PerryFamily Nurse Practitioner Eagle Mountain, UT NPI 1659233682
Other foot & ankle surgery podiatrist providers in Eagle Mountain
About NPI 1306832944
Charles C. Southerland, DPM's National Provider Identifier is 1306832944, issued on Sep 20, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Eagle Mountain, UT. The record was last updated on Apr 24, 2020.