Individual
KATHERINE HARRISON OGAWA DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 CENTRO FAMILIAR BLVD SW, ALBUQUERQUE, NM 87105-4592
(505) 873-7400
Mailing address
2001 CENTRO FAMILIAR BLVD SW, ALBUQUERQUE, NM 87105-4592
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2020-0852
NM
Other
Enumeration date
03/26/2018
Last updated
08/18/2021
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