Individual
DR. WILLIAM CHARLES SOUTHWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
866 BLAINE ST.., ASHLAND, OR 97520
(541) 944-4626
Mailing address
866 BLAINE ST, ASHLAND, OR 97520-2103
(541) 944-4626
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD11926
OR
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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