Basic Information
| Provider Information | |||||||||
| NPI: | 1700107471 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SOUTHWICK | ||||||||
| FirstName: | FRANCES | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2015 WEST BEAMER STREET | ||||||||
| Address2: | |||||||||
| City: | WOODLAND | ||||||||
| State: | CA | ||||||||
| PostalCode: | 95695 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5304052800 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2051 JOHN JONES RD | ||||||||
| Address2: | |||||||||
| City: | DAVIS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 956169701 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5307582060 | ||||||||
| FaxNumber: | 5307582109 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/17/2010 | ||||||||
| LastUpdateDate: | 03/28/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | OS016244 | PA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | OT013690 | PA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 15111 | CA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.