Dr Edward G Southwick, MD in West Valley City, UT - Dermatology

Dr Edward G Southwick, MD is a Dermatology physician based in West Valley City, Utah. Dr Edward G Southwick is licensed to practice in Utah (license number 156560-1205) and his current practice location is 3465 S 4155 W, Suite #1, West Valley City, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 966-1403.

NPI number for Dr Edward G Southwick is 1619957156 and his current mailing address is 3465 South 4155 West, Suite #1, West Valley City, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619957156.

Contact Information

	Dr Edward G Southwick, MD
	3465 S 4155 W, Suite #1, West Valley City, UT 84120-2076
	(801) 966-1403
	(801) 964-6478

Physician's Profile

Full Name	Dr Edward G Southwick
Gender	Male
Speciality	Dermatology
Location	3465 S 4155 W, West Valley City, Utah
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1619957156
Provider Enumeration Date: 01/19/2006
Last Update Date: 08/14/2012

Medical Identifiers

Medical identifiers for Dr Edward G Southwick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619957156	NPI	-	NPPES
071157009	Other	UT	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	156560-1205 (Utah)	Primary
207ND0900X	Dermatology - Dermatopathology	156560-1205 (Utah)	Secondary
207NS0135X	Dermatology - Procedural Dermatology	156560-1205 (Utah)	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Edward G Southwick is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Edward G Southwick, MD 3465 South 4155 West, Suite #1, West Valley City, UT 84120-2077 Ph: (801) 966-1403	Dr Edward G Southwick, MD 3465 S 4155 W, Suite #1, West Valley City, UT 84120-2076 Ph: (801) 966-1403

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Dermatology Doctors in West Valley City, UT

Nicholas Lowe,
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 5373 W Lake Park Blvd, West Valley City, UT 84120
Phone: 801-902-8000

Dr Edward G Southwick, MD - Dermatology in West Valley City, UT