DEREK BOYD SOUTHWICK

PORTLAND, IN
NPI1801647284
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01098270A)
Enumeration Date2024-04-01
Last Update Date2026-03-30
Business Address
DEREK BOYD SOUTHWICK MD
500 W VOTAW ST
PORTLAND, IN 47371-1322
Phone number: 765-741-1515
Mailing Address
DEREK BOYD SOUTHWICK MD
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number: