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DR. EDWARD G SOUTHWICK M.D.
NPI 1619957156
Dermatology in West Valley City, UT

Active since January 19, 2006
3465 S 4155 W, SUITE #1, WEST VALLEY CITY, UT 84120(801) 966-1403(801) 964-6478 Get Directions Write a Review

NPPES record last updated: August 14, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Edward G Southwick M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDWARD G SOUTHWICK M.D. (NPI 1619957156) is an individual dermatology provider in West Valley City, Utah, licensed in Utah (156560-1205) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1619957156
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. EDWARD G SOUTHWICKCredential: M.D.
Location Address3465 S 4155 W, SUITE #1West Valley City, UT 84120-2076
Mailing Address3465 South 4155 West, Suite #1West Valley City, UT 84120-2077 · (801) 966-1403 · Fax (801) 964-6478
Phone(801) 966-1403
Fax(801) 964-6478
Sole ProprietorNo
Enumeration DateJanuary 19, 2006
Last NPPES UpdateAugust 14, 2012
✔ NPI 1619957156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in UT · 156560-1205
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License 156560-1205 (UT)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License 156560-1205 (UT)
3465 S 4155 W, West Valley City, UT 84120
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Other Identifiers 3

Medicare UPINC63377UT
Other071157009UT · Railroad Medicare
Medicare ID-Type Unspecified000000571UT

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDWARD G. SOUTHWICK, M.D., P.C.
Specialist
3465 S 4155 W, SUITE 1
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 966-1403

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Southwick's NPI number?

The NPI number for Edward Southwick is 1619957156. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Edward Southwick located?

Edward Southwick practices at 3465 S 4155 W Suite #1, West Valley City, UT 84120. The listed phone number is (801) 966-1403.

What is Edward Southwick's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Edward Southwick was last updated on August 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.