Individual
KATHARINE M BERMINGHAM CORDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14506 W GRANITE VALLEY DR, #206, SUN CITY WEST, AZ 85375-6010
(623) 584-2127
(623) 584-1257
Mailing address
13943 N 91ST AVE, C-101, PEORIA, AZ 85381-3629
(623) 760-9449
(623) 974-9351
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
46040
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396962767
BLUE CROSS BLUE SHIELD
AZ
01
—
3044230
UNITED HEALTHCARE
AZ
01
—
5Z0069
HEALTH NET
AZ
01
—
722830
AHCCCS
AZ
05
—
722830
—
AZ
01
—
P01106960
RAILROAD MEDICARE
AZ
Enumeration date
04/19/2007
Last updated
01/26/2016
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