Provider Demographics
NPI:1760911960
Name:CLARIZIO, KATHARINE (DO)
Entity Type:Individual
Prefix:DR
First Name:KATHARINE
Middle Name:
Last Name:CLARIZIO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:KATIE
Other - Middle Name:
Other - Last Name:CLARIZIO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:1028 SW ADAMS ST UNIT 203
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61602-1641
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9745 N 90TH PL
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5066
Practice Address - Country:US
Practice Address - Phone:480-661-1485
Practice Address - Fax:480-661-1495
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-09
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAZ009180207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Single Specialty