Organization
IRONWOOD OB/GYN, P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE A SCHUPPERT MD (PRESIDENT)
(520) 881-1977
Entity
Organization
Contact information
Practice address
2300 N ROSEMONT BLVD, TUCSON, AZ 85712-2139
(520) 881-1977
(520) 881-1979
Mailing address
2300 N ROSEMONT BLVD, TUCSON, AZ 85712-2139
(520) 881-1977
(520) 881-1979
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258005-02
—
AZ
05
—
285892-01
—
AZ
05
—
397077-01
—
AZ
05
—
458853-01
—
AZ
05
—
518269-03
—
AZ
05
—
567802-03
—
AZ
Enumeration date
07/04/2006
Last updated
08/22/2020
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