Individual
DR. NICHOLAS SOUTHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5950 UNIVERSITY AVE, STE 231, WEST DES MOINES, IA 50266
(515) 875-9090
(515) 875-9312
Mailing address
PO BOX 424, DES MOINES, IA 50302-0424
(515) 875-9255
(515) 875-9223
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
DO-04402
IA
Other
Enumeration date
07/02/2008
Last updated
01/11/2024
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