Individual
MR. SAMUEL D. SOUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 E BOULDER ST STE 500, COLORADO SPRINGS, CO 80909-5533
(719) 364-6487
(719) 364-6488
Mailing address
30 N 1900 E RM 3C344, SALT LAKE CITY, UT 84132-0002
(801) 213-2598
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5267810-1205
UT
208600000X
Surgery Physician
Primary
DR.0068718
CO
2086S0102X
Surgical Critical Care Physician
5267810-1205
UT
Other
Enumeration date
03/27/2013
Last updated
03/27/2026
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