Provider Demographics
NPI:1972696706
Name:FARIAS, KATHERINE BRIGGS (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:BRIGGS
Last Name:FARIAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:KATHERINE
Other - Middle Name:MICHELLE
Other - Last Name:FARIAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5550 E. HAMPTON STREET
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-2919
Mailing Address - Country:US
Mailing Address - Phone:520-721-8605
Mailing Address - Fax:520-721-4209
Practice Address - Street 1:5550 E. HAMPTON STREET
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-2919
Practice Address - Country:US
Practice Address - Phone:520-721-8605
Practice Address - Fax:520-721-4209
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ35919207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZBF9969342OtherDEA NUMBER