Individual
KATRINA ELIZABETH LETTANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MARICOPA INTEGRATED HEALTH SYSTEM, 2601 E ROOSEVELT ST., PHOENIX, AZ 85008-4973
(602) 344-5011
Mailing address
MARICOPA INTEGRATED HEALTH SYSTEM, 2601 E ROOSEVELT ST., PHOENIX, AZ 85008-4973
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
65612
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2019
Last updated
05/01/2023
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