Katharine M Bermingham Cordova
MOHS-Micrographic Surgeon
14506 W Granite Valley Dr #206
Sun City West
, Arizona 85375-6010
Katharine M Bermingham Cordova
MOHS-Micrographic Surgeon
14506 W Granite Valley Dr #206
Sun City West
, Arizona 85375-6010
(623) 974-9351
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About
Features
Specialties
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Katharine M Bermingham Cordova
- 13943 N 91st Ave C-101
- Peoria, AZ
- Zip : 85381-3629
- Fax : (623) 974-9351
- Phone : (623) 760-9449
Second Address
- Katharine M Bermingham Cordova
- 14506 W Granite Valley Dr #206
- Sun City West, AZ
- Zip : 85375-6010
- Fax : (623) 584-1257
- Phone : (623) 584-2127
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207ND0101X | MOHS-Micrographic Surgeon | 46040 | AZ |
National Provider Identifier
| NPI | 1396962767 |
|---|---|
| Provider Name | Katharine M Bermingham Cordova |
| First Address | Peoria, AZ 85381-3629 |
| Second Address | Sun City West, AZ 85375-6010 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/04/2007 |
| Last Update Date | 26/01/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1396962767 | BLUE CROSS BLUE SHIELD (01) | AZ |
| 1396962767 | TRICARE (01) | AZ |
| 3044230 | UNITED HEALTHCARE (01) | AZ |
| 5Z0069 | HEALTH NET (01) | AZ |
| 722830 | (05) | AZ |
| 722830 | AHCCCS (01) | AZ |
| P01106960 | RAILROAD MEDICARE (01) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.