Individual
KATHARINE WITHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(603) 344-5011
Mailing address
953 E LA JOLLA DR, TEMPE, AZ 85282-5563
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
128156
AZ
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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