Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Edward G Southwick, MD

Individual provider Dermatology Physician · NPI 1619957156

Dr. Edward G Southwick, MD is a Dermatology Physician in West Valley City, Utah. Licensed in Utah. Registered with an NPI since 2006.

Licensed in
UT
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3465 S 4155 W Ste #1
West Valley City, UT 84120-2076
Phone: (801) 966-1403
Fax: (801) 964-6478
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 156560-1205 (UT)
Dermatopathology Physician Taxonomy 207ND0900X · Licence 156560-1205 (UT)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 156560-1205 (UT)

Record details

NPI number1619957156
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 19, 2006
Last updated in NPPESAugust 14, 2012

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