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Glade Southam

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NPI Number Detailed Information

Provider Information:

Name: Glade Southam
Gender: M
Provider License Number If Given: NP - 747A

NPI Information:

NPI: 1588654628
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 10/27/2005

Last Update Date: 10/1/2007

Provider Business Mailing Address:

Address: BYU - IDAHO NURSING DEPARTMENT 117C CLARKE
Rexburg, ID 83460
Phone Number: 2084961385
Fax Number: 2084965386

Provider Business Practice Location Address:

Address: BYU - IDAHO 100 SHC
Rexburg, ID 83460
Phone Number: 2084961300
Fax Number:

Provider Taxonomy:

Primary: 363LF0000X
Secondary (if any):
State: ID

Top Doctors in ID

 

About Glade Southam

Glade Southam ( GLADE SOUTHAM ) is Definition Nurse Practitioner Physician in Rexburg, ID. The NPI Number for Glade Southam is 1588654628.
The current location address for Glade Southam is BYU - IDAHO 100 SHC Rexburg, ID 83460 and the contact number is 2084961385 and fax number is 2084965386. The mailing address for Glade Southam is BYU - IDAHO NURSING DEPARTMENT 117C CLARKE Rexburg, ID 83460- 2084961300 (mailing address contact number - 2084961385).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Glade Southam ?


Answer: The NPI Number for Glade Southam is 1588654628

Where is Glade Southam located?


Answer: Glade Southam is located at BYU - IDAHO 100 SHC Rexburg, ID 83460.

What is the specialty for Glade Southam ?


Answer: The Specialty of Glade Southam is Definition Nurse Practitioner Physician.

Are there any online reviews for Glade Southam ?


Answer: Not yet!

Are there any other health care providers in Rexburg, ID?


Answer: Yes, there are given below...

More Providers in Rexburg , ID

Dr. Michael J Larson
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Dr. Kevin M Lee
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Dr. Eric E. Barton
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NPI Number: 1306847819
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Rosemary H Brown
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Address: 1120 STOCKS AVE Rexburg, ID 83440 , Phone: 2083593133
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Valley Professional Pharmacy Llc
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Glade Southam
Family Nurse Practitioner
NPI Number: 1588654628
Address: BYU - IDAHO 100 SHC Rexburg, ID 83460 , Phone: 2084961300
Dr. Dana R Miller
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NPI Number: 1063496966
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Glade Southam in Other Directories

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