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Individual

KATHERINE WEGMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
CNR ROUTE 12 AND 7, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD2023-0348
NM
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/20/2019
Last updated
10/29/2024
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