Provider Demographics
NPI:1093903023
Name:LOOBY, KATHERINE S (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:S
Last Name:LOOBY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1432 S. DOBSON RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85020
Mailing Address - Country:US
Mailing Address - Phone:480-962-0071
Mailing Address - Fax:480-962-0590
Practice Address - Street 1:1432 S. DOBSON RD
Practice Address - Street 2:SUITE 201
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85020
Practice Address - Country:US
Practice Address - Phone:480-962-0071
Practice Address - Fax:480-962-0590
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-03
Last Update Date:2013-12-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ3374363A00000X, 207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant