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Individual

MRS. KATHERINE S LOOBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1432 S. DOBSON RD, SUITE 201, MESA, AZ 85020
(480) 962-0071
(480) 962-0590
Mailing address
1432 S. DOBSON RD, SUITE 201, MESA, AZ 85020
(480) 962-0071
(480) 962-0590

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
3374
AZ
363A00000X
Physician Assistant
3374
AZ

Other

Enumeration date
10/03/2007
Last updated
12/30/2013
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