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Primary Practice Address
3435 E PONY EXPRESS PKWY STE 140
EAGLE MOUNTAIN, UT 84005-5548 US
Accepts Medicare Payment

PECOS Enrolled

Charles C Southerland

Podiatrist (Foot & Ankle Surgery)


Overview

Charles C Southerland is a Podiatrist (Foot & Ankle Surgery) in the EAGLE MOUNTAIN area and has over 31 years of experience. Charles C Southerland primary office location is at 3435 E PONY EXPRESS PKWY STE 140 and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 1994 The NPI number is 1306832944 and the information was updated approximately 5 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Yes

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
3435 E PONY EXPRESS PKWY STE 140
EAGLE MOUNTAIN, UT 84005-5548 US
Phone: (801)-893-8811
Fax:
Practice Mailing Information
11300 NE 2ND AVENUE
MIAMI SHORES, FL 84005-5548 US
Phone: (305)-693-7287
Fax: (305)-694-9616
License NumberState
9244891-0501UT

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