Individual
KATHRYN STORCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
US HWY 491 NORTH, SHIPROCK, NM 87420
(505) 368-6001
(505) 368-7011
Mailing address
PO BOX 160, SHIPROCK, NM 87420
(505) 368-6001
(505) 368-7011
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
9373032-1205
UT
207V00000X
Obstetrics & Gynecology Physician
DR.0059001
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/06/2011
Last updated
03/17/2018
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