Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 28098 | AZ |
NPI | 1093787335 |
---|---|
Provider Name | Dr. Cathleen Marie Harris |
First Address | Phoenix, AZ 85054-5178 |
Second Address | Phoenix, AZ 85054-5178 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2006 |
Last Update Date | 14/04/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F84639 | (02) |