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Individual

DR. KATHERINE WESSELING PERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-0965
(602) 933-4610
Mailing address
2108 E THOMAS RD STE 13012441, PHOENIX, AZ 85016-7761
(602) 933-3124
(602) 933-1820

Taxonomy

Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
67023
AZ
2080P0210X
Pediatric Nephrology Physician
A73952
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A739520
CA
Enumeration date
09/15/2006
Last updated
09/13/2022
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