Individual
DR. BOYD K SOUTHWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3614 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7573
(208) 552-7700
(208) 552-1786
Mailing address
3614 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7573
(208) 552-7700
(208) 552-1786
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
O311
ID
Other
Enumeration date
01/11/2007
Last updated
09/25/2007
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