Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 55820 | AZ |
NPI | 1124405725 |
---|---|
Provider Name | Katherine Courtney Conover |
First Address | Scottsdale, AZ 85258-4591 |
Second Address | Scottsdale, AZ 85258 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2015 |
Last Update Date | 18/07/2019 |