Mr. Samuel D. South
Surgeon Surgical Critical Care
30 N 1900 E Rm 3c344
Salt Lake City
, Utah 84132-0002
Mr. Samuel D. South
Surgeon Surgical Critical Care
30 N 1900 E Rm 3c344
Salt Lake City
, Utah 84132-0002
(801) 213-2598
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About
Features
Specialties
- Surgeon
- Surgical Critical Care
Languages spoken
- English
Location
First Address
- Mr. Samuel D. South
- 30 N 1900 E Rm 3c344
- Salt Lake City, UT
- Zip : 84132-0002
- Phone : (801) 213-2598
Second Address
- Mr. Samuel D. South
- 30 N 1900 E Rm 3c344
- Salt Lake City, UT
- Zip : 84132-0002
- Phone : (801) 213-2598
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Is Mr. Samuel D. South a sole practitioner?
Is Mr. Samuel D. South accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 5267810-1205 | UT |
| N | 208600000X | Surgeon | 5267810-1205 | UT |
| Y | 2086S0102X | Surgical Critical Care | 5267810-1205 | UT |
National Provider Identifier
| NPI | 1154664282 |
|---|---|
| Provider Name | Mr. Samuel D. South |
| First Address | Salt Lake City, UT 84132-0002 |
| Second Address | Salt Lake City, UT 84132-0002 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/03/2013 |
| Last Update Date | 18/11/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.