Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080N0001X | Neonatal-Perinatal Doctor | 17147 | AZ |
NPI | 1023072857 |
---|---|
Provider Name | Dr. Mary Katherine Allare |
First Address | Phoenix, AZ 85006-2727 |
Second Address | Phoenix, AZ 85006-2727 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2006 |
Last Update Date | 04/10/2017 |