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Individual
DR. KATHERINE HERSOM
Active
Individual
DR. KATHERINE HERSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
012602
AZ
208M00000X
Hospitalist Physician
Primary
012602
AZ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
08/12/2026
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