Individual
DR. STEPHEN E SOUTHARD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1160 HICKORY WAY, ERIE, CO 80516-7994
(617) 840-8445
(617) 789-9549
Mailing address
1160 HICKORY WAY, ERIE, CO 80516-7994
(617) 840-8445
(617) 789-9549
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01094663A
IN
207R00000X
Internal Medicine Physician
102003
GA
207R00000X
Internal Medicine Physician
11224295-1205
UT
207R00000X
Internal Medicine Physician
18759
NV
207R00000X
Internal Medicine Physician
2024-02849
NC
207R00000X
Internal Medicine Physician
2024036775
MO
207R00000X
Internal Medicine Physician
38056
AL
207R00000X
Internal Medicine Physician
59425
TN
207R00000X
Internal Medicine Physician
C197633
CA
207R00000X
Internal Medicine Physician
Primary
CDRH.0061297
CO
207R00000X
Internal Medicine Physician
L-228504
MA
207R00000X
Internal Medicine Physician
V5609
TX
261QM2500X
Medical Specialty Clinic/Center
1043889967
NY
261QM2500X
Medical Specialty Clinic/Center
1992372403
CT
261QM2500X
Medical Specialty Clinic/Center
1992372403
NJ
Other
Enumeration date
02/27/2007
Last updated
08/27/2025
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