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Individual

ELISABETH S SOUTHER

Active
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Individual

ELISABETH S SOUTHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15286
NH
390200000X
Student in an Organized Health Care Education/Training Program
0116019927
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1019469
VT
05
32000799
NH
Enumeration date
07/09/2008
Last updated
12/16/2025
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