Individual
DR. CATHLEEN J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13737 N 92ND ST, SCOTTSDALE, AZ 85260-7434
(480) 301-8000
Mailing address
13737 N 92ND ST, SCOTTSDALE, AZ 85260-7434
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19679
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080053129
RR MEDICARE
AZ
05
—
151720
—
AZ
01
—
86080015085259A239
TRIWEST
AZ
01
—
86080015085260A052
TRIWEST
AZ
Enumeration date
11/23/2005
Last updated
12/15/2008
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