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1104967090
JOHN G SOUTHARD
COUNCIL BLUFFS, IA
NPI
1104967090
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: IA 22453)
Enumeration Date
2007-02-12
Last Update Date
2007-07-08
Business Address
Dr. JOHN G SOUTHARD MD
1 EDMUNDSON PL SUITE 312
COUNCIL BLUFFS, IA 51503-4658
Phone number: 712-396-4295
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Mailing Address
Dr. JOHN G SOUTHARD MD
1 EDMUNDSON PL SUITE 312
COUNCIL BLUFFS, IA 51503-4658
Phone number: 712-396-4295
Copy
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