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 & Directions
Dr. Charles C Southerland is a Eagle Mountain, Utah based male 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: Podiatrist - 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 NumberSpecializationStateStatus
9244891-0501Podiatric Foot & Ankle Surgery UtahPrimary
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.
IdentifierTypeStateIssuer
9244891-0501OtherUtahMEDICAL 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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.

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