Organization
BOYD K SOUTHWICK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOYD K SOUTHWICK DO (OWNER)
(208) 552-7700
Entity
Organization
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
—
—
Other
Enumeration date
09/27/2007
Last updated
09/27/2007
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