Glade Southam NP

  • 1588654628 NPI Number
  • |
  • Actived: 14 years ago
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According to our database, NPI number for Glade Southam NP is 1588654628 and actived since Thursday, October 27 2005. Glade Southam NP is an individual provider specializes in Family, primary practice location is Byu - Idaho, Rexburg, ID 83460. You can also contact Glade Southam NP via telephone number is (208) 496-1300. Provider NPI information was last updated on 10/01/2007.

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Overview of Glade Southam NP

  • NPI number: 1043855448
  • Provider type: Individual
  • Specialty: Family
  • Gender: Male
  • Active since: 10/27/2005
  • Last updated: 10/01/2007

Primary Scrop of Practice

  • Taxonomy Code: 363LF0000X
  • Specialty: Family
  • License Number: NP - 747A
  • License State: ID

Provider Mailing Address

  • Address: Byu - Idaho Nursing Department
    117c Clarke
    Rexburg, ID 83460
  • Phone: 208-496-1385
  • Fax: 208-496-5386

Provider Practice Location

  • Address: Byu - Idaho
    100 Shc
    Rexburg, ID 83460
  • Phone: 208-496-1300
  • Fax:

Scope of Practice

  • Taxonomy Code: 363LF0000X
  • Specialty: Family
  • License Number: NP - 747A
  • License State: ID
  • Switch: Yes

Question & Answers

What is the npi number?

  • Q: What is the npi number for Glade Southam NP?
  • A: The npi number for Glade Southam NP is 1588654628.
  • Q: What are Glade Southam NP's specialties?
  • A: Glade Southam NP's specialties are Family and different specialities.
  • Q: What is the medical license for Glade Southam NP?
  • A: The medical license number for Glade Southam NP is NP - 747A and issued in ID in USA.
  • Q: Where is Glade Southam NP practice location?
  • A: Glade Southam NP is practicing at Byu - Idaho, Rexburg, ID 83460.
  • Q: How to contact Glade Southam NP?
  • A: You can contact Glade Southam NP via 208-496-1300.