Individual
DR. DAVID ANDREW SOUTHWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5969 S ERNEST ST, TERRE HAUTE, IN 47802-8111
(812) 238-4499
(812) 238-4493
Mailing address
1606 N 7TH ST, TERRE HAUTE, IN 47804-2706
(812) 238-4499
(812) 238-4493
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
02001402
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100253000A
—
IN
Enumeration date
10/14/2005
Last updated
06/13/2013
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