Individual
DR. COLE WILLIAM SOUTHWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, MPH, MS
Contact information
Practice address
1441 N 12TH ST FL 2, PHOENIX, AZ 85006-2837
(602) 521-5969
Mailing address
1441 N 12TH ST FL 2, PHOENIX, AZ 85006-2837
(602) 521-5969
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AZ
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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