Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 3374 | AZ |
NPI | 1093903023 |
---|---|
Provider Name | Mrs. Katherine S Looby |
First Address | Mesa, AZ 85020 |
Second Address | Mesa, AZ 85020 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2007 |
Last Update Date | 30/12/2013 |