JODI SOUTHAM

SALT LAKE CITY, UT
NPI1942422167
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: UT  7618740-1205)
Additional Taxonomies207X00000X Orthopaedic Surgery
(Licence: PA  MT186754)
Enumeration Date2007-05-03
Last Update Date2022-02-04
Business Address
-- JODI SOUTHAM M.D.
590 S WAKARA WAY
SALT LAKE CITY, UT 84108-1200
Phone number: 801-587-5455
Mailing Address
-- JODI SOUTHAM M.D.
417 E 300 S APT 9
SALT LAKE CITY, UT 84111-2672
Phone number: 202-746-0089