Individual
MS. KATHERINE ENA MCCUAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6641 E BAYWOOD AVE, SUITE B-3, MESA, AZ 85206-1723
(480) 827-7979
(480) 654-7173
Mailing address
6242 E ARBOR AVE, SUITE 101, MESA, AZ 85206-1309
(480) 827-7979
(480) 654-7173
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
21138
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020048072
MEDICARE RAILROAD
AZ
Enumeration date
07/07/2006
Last updated
08/19/2014
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