Individual
KATHERINE A SCHUPPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2300 N ROSEMONT BLVD, TUCSON, AZ 85712-2139
(520) 881-1977
(520) 881-1979
Mailing address
4881 E GRANT RD, TUCSON, AZ 85712-2704
(520) 795-0549
(520) 795-0354
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
16718
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
285892 01
—
AZ
Enumeration date
10/06/2005
Last updated
12/22/2011
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