Most Relevant Information
Provider Data
| NPI Number: | 1003818436 |
| Provider Name: | REBECCA E SOUTHARD DPM |
| Entity Type: | Individual |
| Taxonomy Code: | 213E00000X |
| Specialty: | Podiatrist |
| License Number: | 2048 |
Most Important Dates
| Enumeration Date: | 08/15/2005 |
| Last Updated: | 05/08/2008 |
Provider Practice Location
10 NEW DRIFTWAY
SUITE 103
SCITUATE
MA
020664530
Practice Location Phone/Fax
| Phone: | 7815459285 |
| Fax: | 7815459553 |
Provider Mailing Location
PO BOX 352
SCITUATE
MA
020660352
Provider Mailing Phone/Fax
| Phone: | 7815459285 |
| Fax: | 7815459553 |
Suggested EMR
Podiatry EMR