Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 26351 | NE |
N | 111NI0900X | Internist | 26351 | NE |
Y | 207RI0200X | Infectious Disease | 26351 | NE |
NPI | 1043531577 |
---|---|
Provider Name | Catherine M Berjohn |
First Address | San Diego, CA 92134 |
Second Address | Jacksonville, FL 32212-0140 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2010 |
Last Update Date | 02/08/2017 |