Individual
DR. EDWARD PAUL SOUTHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
BAYNE-JONES ARMY COMMUNITY HOSPITAL, 1585 THIRD ST, FORT POLK, LA 71459
(337) 531-3000
Mailing address
BAYNE-JONES ARMY COMMUNITY HOSPITAL, 1585 THIRD ST, FORT POLK, LA 71459
(337) 531-3000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
C050274
CA
207XP3100X
Pediatric Orthopaedic Surgery Physician
C050274
CA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
C050274
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2301209
—
LA
Enumeration date
05/08/2006
Last updated
03/07/2023
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