| NPI | 1649267535 |
|---|---|
| Professional Name | JOHN K. SOUTHARD |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NC 18576) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NC 18576) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2009-04-08 |