Individual
CATHERINE C ROMANO DELANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 214-2920
(928) 214-2925
Mailing address
1200 N BEAVER ST, PAYER CREDENTIALING, FLAGSTAFF, AZ 86001-3118
(928) 773-2559
(928) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
P2353
TX
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
006404
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
927004
—
AZ
Enumeration date
05/16/2012
Last updated
12/14/2015
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