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Individual

CATHERINE M HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
359 - 8TH AVENUE, ASC, SALT LAKE CITY, UT 84103
(801) 408-3200
(801) 733-5618
Mailing address
3340 NORTH CENTER ST, #800, LEHI, UT 84043-7406
(801) 990-1910
(801) 990-1912

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
275869-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100504140
NV
01
107007330102
IHC
UT
05
119937400
WY
01
1502954
UMWA
UT
01
2090168
UNITED HEALTHCARE
UT
01
313962
DESERET MUTUAL
UT
01
462
HEALTHY U
UT
05
475980
AZ
01
78143
PEHP
UT
05
805135100
ID
01
870545614CMH
EDUCATORS MUTUAL
UT
01
QM0000075886
ALTIUS
UT
01
TPRA07339
MOLINA
UT
Enumeration date
09/01/2006
Last updated
10/15/2012
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