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1124281902
NICHOLAS SOUTHARD
WEST DES MOINES, IA
NPI
1124281902
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0129X Surgery, Vascular Surgery
(Licence: IA DO-04402)
Enumeration Date
2008-07-02
Last Update Date
2024-01-11
Business Address
Dr. NICHOLAS SOUTHARD D.O.
5950 UNIVERSITY AVE STE 231
WEST DES MOINES, IA 50266
Phone number: 515-875-9090
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Mailing Address
Dr. NICHOLAS SOUTHARD D.O.
PO BOX 424
DES MOINES, IA 50302-0424
Phone number: 515-875-9255
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