Dr. Charles C Southerland
DPM | Podiatrist - Foot & Ankle Surgery
3435 E Pony Express Pkwy Ste 140, Eagle Mountain
Utah, 84005-5548
801-893-8811 Maps & DirectionsDr. Charles C Southerland is a Eagle Mountain, Utah based podiatrist who is specialized in Podiatric Foot & Ankle Surgery. Active license number of Dr. Charles C Southerland for Podiatric Foot & Ankle Surgery is 9244891-0501 in Utah.
Dr. Charles C Southerland provide comprehensive medical and surgical care for a wide spectrum of foot and ankle conditions, including common to complex disorders and injuries that affect people of all ages. He is uniquely qualified to detect the early stages of diseases that exhibit warning signs in the lower extremities, such as diabetes, arthritis and cardiovascular disease, and can manage foot conditions that may pose an ongoing threat to a patient’s overall health.
Complete Profile:
Dr. Charles C Southerland speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Podiatric Foot & Ankle Surgery |
| Credentials: | DPM |
| Gender: | Male |
| Practice Address: | 3435 E Pony Express Pkwy Ste 140, Eagle Mountain,
Utah, 84005-5548 |
| Phone: | 801-893-8811 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1306832944 |
| NPI Enumeration Date: | 20 Sep, 2005 |
| NPI Last Update On: | 24 Apr, 2020 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Charles C Southerland are as mentioned below.
| License Number | Specialization | State | Status | |
| 9244891-0501 | Podiatric Foot & Ankle Surgery | Utah | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Charles C Southerland such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 9244891-0501 | Other | Utah | MEDICAL LICENSE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 11300 Ne 2nd Avenue,
Miami Shores, Florida |
| Zip: | 33161 |
| Phone Number: | 305-693-7287 |
| Fax Number: | 305-694-9616 |
Patients can reach Dr. Charles C Southerland at
3435 E Pony Express Pkwy Ste 140, Eagle Mountain, Utah or can
call to book an appointment on 801-893-8811.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.