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Individual
DANIEL O SOUTHERN
Active
Individual
DANIEL O SOUTHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
042845
CT
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
042845
CT
208VP0000X
Pain Medicine Physician
042845
CT
Other
Enumeration date
07/12/2006
Last updated
12/15/2025
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