Individual
DR. JOHN DEVIN SOUTHAM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
975 W HIGHWAY 40, VERNAL, UT 84078-2400
(435) 789-0704
(435) 789-0233
Mailing address
54 N 1200 W, VERNAL, UT 84078-3341
(435) 789-0606
(435) 789-0233
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
97-334970-1202
UT
Other
Enumeration date
06/05/2006
Last updated
07/08/2007
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