NPI 1003868811

Mark Southard, MD

Practitioner Diagnostic Radiology Physician Eau Claire, WI

Practice location

Address: 900 W Clairmont Ave, Eau Claire, WI 54701
Phone: (715) 839-4151
Mailing address: 2715 West Frank St, Eau Claire, WI 54703

Registered specialties (3)

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 45008 (WI)

Other Radiology providers in Wisconsin →

Body Imaging Physician

Allopathic & Osteopathic Physicians Taxonomy 2085B0100X Licence 45008 (WI)

Diagnostic Ultrasound Physician

Allopathic & Osteopathic Physicians Taxonomy 2085U0001X Licence 45008 (WI)

Registry record

NPI: 1003868811
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 May 2006
Record last updated: 5 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.